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NPI Code Detail

MEDICARE: SHERLYN NICOLE CANALS RBT

MEDICARE:   SHERLYN NICOLE CANALS  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-485322FL

General Provider Information

NPI Number : 1205706900
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERLYN NICOLE CANALS RBT
Provider Business Mailing Address
First Line : 5409 PENTAIL CIR
Second Line :
City : TAMPA
State : FL
Zip : 33625-1915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5409 PENTAIL CIR
Second Line :
City : TAMPA
State : FL
Zip : 33625-1915
Country : US
Telephone Number : 813-458-2653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2025
Last Update Date : 11/07/2025

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Directions to “ SHERLYN NICOLE CANALS RBT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.