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NPI Code Detail

MEDICARE: TAYLA SHANAY BARNETT

MEDICARE: TAYLA SHANAY BARNETT
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 TechnicianRBT-25-446667AR

General Provider Information

NPI Number : 1013846039
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLA SHANAY BARNETT
Provider Business Mailing Address
First Line : 2808 FOX MEADOW LN
Second Line :
City : JONESBORO
State : AR
Zip : 72404-9346
Country : US
Telephone Number : 870-932-4245
Fax Number : 870-931-4457
Provider Business Practice Location Address
First Line : 2808 FOX MEADOW LN
Second Line :
City : JONESBORO
State : AR
Zip : 72404-9346
Country : US
Telephone Number : 870-932-4245
Fax Number : 870-931-4457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2026
Last Update Date : 05/15/2026

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Directions to “ TAYLA SHANAY BARNETT ” Practice Location

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