DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ASHANTIANNA SHEALY

MEDICARE: ASHANTIANNA SHEALY
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 : 1043169360
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHANTIANNA SHEALY
Provider Business Mailing Address
First Line : 3415 BATAAN MEMORIAL W
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-5012
Country : US
Telephone Number : 505-392-3482
Fax Number :
Provider Business Practice Location Address
First Line : 2070 VALLEYDALE RD STE 7
Second Line :
City : HOOVER
State : AL
Zip : 35244-2035
Country : US
Telephone Number : 659-202-6559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

Similar Medicare Providers

1114877255 — AMBER CARTER
Practice Location Address:
2070 VALLEYDALE RD STE 7
HOOVER, AL
35244-2035
Practice Phone: 659-202-6559
Practice Fax:
1174317762 — ANTONIO GONZALEZ-REBELES JR
Practice Location Address:
2070 VALLEYDALE RD STE 7
HOOVER, AL
35244-2035
Practice Phone: 659-202-6559
Practice Fax:
1316733256 — NAWWAF DAHWAN
Practice Location Address:
2070 VALLEYDALE RD STE 7
HOOVER, AL
35244-2035
Practice Phone: 659-202-6559
Practice Fax:
1801789813 — STEPHANIE SWINEHART
Practice Location Address:
2070 VALLEYDALE RD STE 7
HOOVER, AL
35244-2035
Practice Phone: 659-202-6559
Practice Fax:
1376437640 — JASMINE JAMES
Practice Location Address:
2070 VALLEYDALE RD STE 7
HOOVER, AL
35244-2035
Practice Phone: 659-202-6559
Practice Fax:
1023903382 — ALYSSA HENRY
Practice Location Address:
2070 VALLEYDALE RD STE 7
HOOVER, AL
35244-2035
Practice Phone: 659-202-6559
Practice Fax:

Directions to “ ASHANTIANNA SHEALY ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.