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NPI Code Detail

MEDICARE: KAREN SHRIVER RBT

MEDICARE: KAREN SHRIVER 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-24-336386FL

General Provider Information

NPI Number : 1225775257
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SHRIVER RBT
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 8610 HIDDEN RIVER PKWY STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33637-1114
Country : US
Telephone Number : 813-481-9662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2022
Last Update Date : 12/16/2024

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Directions to “ KAREN SHRIVER RBT” Practice Location

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