MEDICARE: SHELBY NICOLE STARKEY

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

General Provider Information

NPI Number	:	1477174647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY NICOLE STARKEY

Provider Business Mailing Address
First Line	:	965 GALLERY DR
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92057-7918
Country	:	US
Telephone Number	:	765-228-7850
Fax Number	:

Provider Business Practice Location Address
First Line	:	1260 CLEVELAND AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-7326
Country	:	US
Telephone Number	:	765-228-7850
Fax Number	:

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

Provider Enumeration Date	:	04/29/2020
Last Update Date	:	04/29/2020

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1508126350 — REID BURNS
Practice Location Address:

1260 CLEVELAND AVE , # D210
SAN DIEGO, CA
92103-7326

Practice Phone: 619-395-6218
Practice Fax:

1346885233 — YOLANDA FITCH
Practice Location Address:

1260 CLEVELAND AVE
SAN DIEGO, CA
92103-7326

Practice Phone: 888-657-4456
Practice Fax: 415-989-5001

1588296339 — SHAWN ANTHONY PEREZ IV
Practice Location Address:

1260 CLEVELAND AVE
SAN DIEGO, CA
92103-7326

Practice Phone: 619-988-2701
Practice Fax:

1508495946 — ILSE CHANTAL GALAVIZ
Practice Location Address:

1260 CLEVELAND AVE
SAN DIEGO, CA
92103-7326

Practice Phone: 888-657-4456
Practice Fax:

1356553366 — WALTER JOSEPH HANSS
Practice Location Address:

600 OBLATE DR
SAN ANTONIO, TX
78216-7326

Practice Phone: 210-824-8879
Practice Fax: 210-822-2144

Directions to “ SHELBY NICOLE STARKEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.