Shanavia Loujullia Alston
Individual provider Active NPI Behavior Technician · Charlotte, NC
NPI 1497364764 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1497364764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1401 E 7TH St
Charlotte, NC 28204-6300 - Phone
- (704) 780-4271
- Fax
- (888) 261-6694
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NC | Yes |
Addresses
Primary practice location
1401 E 7TH St
Charlotte, NC 28204-6300
Mailing address
8010 Woodscape Dr Apt C
Charlotte, NC 28212-0240
Phone (252) 820-9010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38175655 | Other | NC | DRIVER'S LICENSE |
Other providers in Charlotte, NC
- Elijah Terrell Alston
- Jaquette Alston
- Keisha L. Alston
- Linda Muchell Alston
- Makaelyn Ann Alston
- Simone Alston
- Wallace Lamone Alston
- Wayne Alan Alston
- Aaron Altamirano
- Alter Ego Counseling & Consulting, PLLC
All providers in Charlotte, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.