MEDICARE: SHERICE RENEE BAILEY BA, 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
1	106S00000X	Behavior Technician	RBT-20-133011	OH
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1205443322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERICE RENEE BAILEY BA, RBT

Provider Business Mailing Address
First Line	:	18320 MAPLE HEIGHTS BLVD
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-2744
Country	:	US
Telephone Number	:	216-482-0082
Fax Number	:

Provider Business Practice Location Address
First Line	:	18320 MAPLE HEIGHTS BLVD
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-2744
Country	:	US
Telephone Number	:	216-482-0082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	02/24/2026

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