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NPI Code Detail

MEDICARE: SHAYVONEE MULLEN

MEDICARE:   SHAYVONEE  MULLEN
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 Technician

General Provider Information

NPI Number : 1386577328
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYVONEE MULLEN
Provider Business Mailing Address
First Line : 6904 STRATHMORE ST APT 121
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-6205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6904 STRATHMORE ST APT 121
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-6205
Country : US
Telephone Number : 202-344-6441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ SHAYVONEE MULLEN ” Practice Location

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