Shelia Dabrowski
Individual provider Active NPI Behavior Technician · Jacksonville, NC
NPI 1679256200 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1679256200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3020 Henderson Dr
Jacksonville, NC 28546-5246 - Phone
- (910) 484-1711
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Therapeutic Services | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NC | Yes |
Addresses
Primary practice location
3020 Henderson Dr
Jacksonville, NC 28546-5246
Mailing address
2919 Breezewood Ave Ste 101
Fayetteville, NC 28303-5283
Phone (910) 484-1711
NPI Registry JSON
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1679256200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 BREEZEWOOD AVE STE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035283",
"telephone_number": "910-484-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HENDERSON DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465246",
"telephone_number": "910-484-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABROWSKI",
"first_name": "SHELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Taylor Dameworth
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All providers in Jacksonville, 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 Aug 10, 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.