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NPI Code Detail

MEDICARE: SHARON LEE LAYESKI RBT

MEDICARE: SHARON LEE LAYESKI 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 TechnicianIL
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1275223992
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON LEE LAYESKI RBT
Provider Business Mailing Address
First Line : 2055 CRAIGSHIRE RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63146-4036
Country : US
Telephone Number : 314-275-0506
Fax Number :
Provider Business Practice Location Address
First Line : 411 EDWARDSVILLE RD
Second Line :
City : TROY
State : IL
Zip : 62294-1339
Country : US
Telephone Number : 314-275-0506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 10/20/2023

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Directions to “ SHARON LEE LAYESKI RBT” Practice Location

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