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NPI Code Detail

MEDICARE: SHAKEYA DALE

MEDICARE: SHAKEYA DALE
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 Technician106

General Provider Information

NPI Number : 1427912781
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAKEYA DALE
Provider Business Mailing Address
First Line : 10475 CROSSPOINT BLVD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3387
Country : US
Telephone Number : 219-881-8400
Fax Number :
Provider Business Practice Location Address
First Line : 10475 CROSSPOINT BLVD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3387
Country : US
Telephone Number : 219-881-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ SHAKEYA DALE ” Practice Location

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