MEDICARE: ALICIA ANN SHERMER

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
2	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1366199960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA ANN SHERMER

Provider Business Mailing Address
First Line	:	6650 ROWAN RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-2940
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6650 ROWAN RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-2940
Country	:	US
Telephone Number	:	843-698-9311
Fax Number	:

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

Provider Enumeration Date	:	03/04/2022
Last Update Date	:	08/24/2024

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Directions to “ ALICIA ANN SHERMER ” Practice Location

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