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NPI Code Detail

MEDICARE: SYDEARIA SHAYLEE BOURIS

MEDICARE: SYDEARIA SHAYLEE BOURIS
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
1106E00000XAssistant Behavior AnalystAL

General Provider Information

NPI Number : 1013834118
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDEARIA SHAYLEE BOURIS
Provider Business Mailing Address
First Line : 2601 NEW ORLEANS ST SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35805-4281
Country : US
Telephone Number : 855-832-6727
Fax Number : 855-832-6727
Provider Business Practice Location Address
First Line : 209 20TH ST N
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35203-3644
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2026
Last Update Date : 06/30/2026

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Directions to “ SYDEARIA SHAYLEE BOURIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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