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NPI Code Detail

MEDICARE: SHELBY BROWN RBT

MEDICARE:   SHELBY  BROWN  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 TechnicianRBT-24-326372IN

General Provider Information

NPI Number : 1134934482
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY BROWN RBT
Provider Business Mailing Address
First Line : 4105 N WALNUT ST
Second Line :
City : MUNCIE
State : IN
Zip : 47303-5904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3001 N GRANVILLE AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47303-2155
Country : US
Telephone Number : 502-795-0773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2025
Last Update Date : 10/24/2025

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Directions to “ SHELBY BROWN RBT” Practice Location

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