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NPI Code Detail

MEDICARE: SHYANNE BLYTHE

MEDICARE: SHYANNE BLYTHE
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 TechnicianCA

General Provider Information

NPI Number : 1346132412
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHYANNE BLYTHE
Provider Business Mailing Address
First Line : 77711 FLORA RD # 327
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 77711 FLORA RD # 327
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4103
Country : US
Telephone Number : 626-313-8421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2025
Last Update Date : 04/08/2026

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Directions to “ SHYANNE BLYTHE ” 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.

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