Shelly Dee Anderson
Individual provider Active NPI Behavior Technician · Hermiston, OR
NPI 1619670486 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1619670486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1765 E Theater LN
Hermiston, OR 97838-7547 - Phone
- (503) 347-6691
- NPI assigned
- Mar 22, 2023
- 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 | Yes |
Addresses
Primary practice location
1765 E Theater LN
Hermiston, OR 97838-7547
Mailing address
1765 E Theater LN
Hermiston, OR 97838-7547
Phone (503) 347-6691
Other providers in Hermiston, OR
- Sherrra Alford
- Victoria Alford
- Alfredo Alvarez-Frias
- Content Elizabeth Anderson
- John Michael Jeremy Anderson
- Selene Andrade-Bernal
- Adan Andrade
- Jennifer Ann Arms
- Kollan Parker Arritt
- Arrow Dental, LLC
All providers in Hermiston, OR · Behavior Technician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. 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.