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NPI Code Detail

MEDICARE: ELSHADYE CHERINET

MEDICARE: ELSHADYE CHERINET
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 : 1396552055
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSHADYE CHERINET
Provider Business Mailing Address
First Line : 9012 CAHILL AVE
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55076-3543
Country : US
Telephone Number : 612-845-7893
Fax Number :
Provider Business Practice Location Address
First Line : 9012 CAHILL AVE
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55076-3543
Country : US
Telephone Number : 612-845-7893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2024
Last Update Date : 12/16/2024

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Directions to “ ELSHADYE CHERINET ” Practice Location

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