MEDICARE: SHANTIA AIKENS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	3747P1801X	Personal Care Attendant
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1457982100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANTIA AIKENS

Provider Business Mailing Address
First Line	:	5021 E 110TH ST
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2779
Country	:	US
Telephone Number	:	216-798-2398
Fax Number	:

Provider Business Practice Location Address
First Line	:	5021 E 110TH ST
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2779
Country	:	US
Telephone Number	:	216-798-2398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2020
Last Update Date	:	10/13/2023

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Directions to “ SHANTIA AIKENS ” Practice Location

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