Shawn Niles
Individual provider Active NPI Behavior Technician · Elberta, AL
NPI 1639656291 · NPPES record last updated Jul 25, 2018
Key facts
- NPI
- 1639656291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 12786 Illinois St
Elberta, AL 36530-2698 - Phone
- (251) 228-2075
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
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
12786 Illinois St
Elberta, AL 36530-2698
Mailing address
12786 Illinois St
Elberta, AL 36530-2698
Other providers in Elberta, AL
- Terry A Kurtts
- Richard Neville Leverett
- Lucy Jo Matier
- Rachael Mueller
- Karleigh Nicole Neese
- Physical Therapy Specialists, Inc.
- Lindsay Pieper
- Lindsay Potts
- Caroline Bryce Ray
- Robert L Roe
All providers in Elberta, AL · Behavior Technician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2018. 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.