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NPI Code Detail

MEDICARE: SHAMPAIGNE BARTON RBT

MEDICARE: SHAMPAIGNE BARTON RBT
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 : 1083426712
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMPAIGNE BARTON RBT
Provider Business Mailing Address
First Line : 4420 BROOKLINE PL APT D
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-4573
Country : US
Telephone Number : 317-709-6260
Fax Number :
Provider Business Practice Location Address
First Line : 1022 E 52ND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1205
Country : US
Telephone Number : 317-815-5501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2025
Last Update Date : 01/21/2025

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Directions to “ SHAMPAIGNE BARTON RBT” Practice Location

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