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General NPI Number Information
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NPI Number | 1548945488
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Entity Type | Individual
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Provider Name | SHANNON BURKE ROBEAUX
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 433 METAIRIE RD STE 515
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City | METAIRIE
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State | LA
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Zip | 70005-4326
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Country | US
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Telephone | 504-833-6730
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Fax |
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Provider Business Mailing Address
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Address Line | 4712 RED OAK DR
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City | MARRERO
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State | LA
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Zip | 70072-6606
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | L-738
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License Number State | LA
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