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NPI Code Detail

MEDICARE: ALDRICK SHAMON GARRETT

MEDICARE: ALDRICK SHAMON GARRETT
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 : 1902765522
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALDRICK SHAMON GARRETT
Provider Business Mailing Address
First Line : 5906 COBALT LN
Second Line :
City : KILLEEN
State : TX
Zip : 76542-5287
Country : US
Telephone Number : 254-677-7235
Fax Number :
Provider Business Practice Location Address
First Line : 175 WESTFIELD BLVD STE 120
Second Line :
City : TEMPLE
State : TX
Zip : 76502-4524
Country : US
Telephone Number : 254-677-7235
Fax Number : 254-677-7235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ ALDRICK SHAMON GARRETT ” Practice Location

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