Healthcare Provider Details

I. General information

NPI: 1700682028
Provider Name (Legal Business Name): LASHAWN BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1537 DENDY LN
PINEVILLE NC
28134-8335
US

IV. Provider business mailing address

1537 DENDY LN
PINEVILLE NC
28134-8335
US

V. Phone/Fax

Practice location:
  • Phone: 704-999-8357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: