MEDICARE: SHAWNDA KULIG

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	BACB69682	TX
2	101YP2500X	Professional Counselor	87707	TX

General Provider Information

NPI Number	:	1467126342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNDA KULIG

Provider Business Mailing Address
First Line	:	1501 S LOOP 288 SUITE 104 PMP 288
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205
Country	:	US
Telephone Number	:	580-579-6715
Fax Number	:

Provider Business Practice Location Address
First Line	:	4408 SHARPS DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072-3698
Country	:	US
Telephone Number	:	580-579-6715
Fax Number	:

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

Provider Enumeration Date	:	08/04/2021
Last Update Date	:	12/01/2025

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Directions to “ SHAWNDA KULIG ” Practice Location

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