Shequilla Barnes, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-16-27276 Issued in NC

Practice address

2205 Becketts Ridge Dr
Hillsborough, NC 27278-6641

Phone

(919) 742-0919

NPI assigned

Apr 25, 2018

Last updated

Apr 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1730677766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 BECKETTS RIDGE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272786641",
            "telephone_number": "919-742-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 BECKETTS RIDGE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272786641",
            "telephone_number": "919-742-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "SHEQUILLA",
        "name_prefix": "Miss",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-16-27276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE, UNITED, CIGNA, VALUE OPTIONS",
            "identifier": "474163131",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Hillsborough, NC
• Providers in Hillsborough, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.