MEDICARE: CLAIRE KAY-ANN HUGHES

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
1	106S00000X	Behavior Technician	RBT-24-366826	NC

General Provider Information

NPI Number	:	1619764362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE KAY-ANN HUGHES

Provider Business Mailing Address
First Line	:	2542 S WHITE OAK DR
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-7752
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2542 S WHITE OAK DR
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-7752
Country	:	US
Telephone Number	:	513-704-3681
Fax Number	:

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

Provider Enumeration Date	:	04/24/2025
Last Update Date	:	04/24/2025

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