Steven B Shust
Individual provider Active NPI Behavior Technician · Arch Cape, OR
NPI 1982467981 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1982467981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 32001 E Shingle Mill LN
Arch Cape, OR 97102-0168 - Phone
- (503) 440-4208
- NPI assigned
- Feb 1, 2024
- Sex
- Male
- 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
32001 E Shingle Mill LN
Arch Cape, OR 97102-0168
Mailing address
32001 E Shingle Mill LN
Arch Cape, OR 97102-0168
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. 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.