Shannon Edwards, RBT
Individual provider Active NPI Behavior Technician · Greensburg, IN
NPI 1730835919 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1730835919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-15-04151 (IN)
- Practice address
- 1314 N. Liberty Circle Dr W
Greensburg, IN 47240-4724 - Phone
- (812) 663-2273
- NPI assigned
- Feb 25, 2022
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-15-04151 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Disability and Autism Services of Indiana LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-04151 | IN | Yes |
Addresses
Primary practice location
1314 N. Liberty Circle Dr W
Greensburg, IN 47240-4724
Mailing address
1824 Touby Pike Ste B
Kokomo, IN 46901-2573
Phone (765) 628-7400
Other names
- Shannon Slatten
Other providers in Greensburg, IN
- Imran Dobouni
- Jason Keith Domenick
- Jon Steven Dooley
- DRS. L.G.Weimer, D.J.Weigel, C.a.Lohmueller, Optometrists, P.C.
- Dungarvin Indiana, LLC
- Michael Enneking
- Teal Nichole Estes
- Everside Health, LLC
- Robert Eversole
- Naveed A Fazlani
All providers in Greensburg, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2022. 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.