MEDICARE: MR. KURTIS SHREWSBERRY BCBA

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	103K00000X	Behavior Analyst	1-16-22007	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508107350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KURTIS SHREWSBERRY BCBA

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-254-4260
Fax Number	:	239-254-4261

Provider Business Practice Location Address
First Line	:	3361 PINE RIDGE RD STE 105
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-3937
Country	:	US
Telephone Number	:	239-254-4260
Fax Number	:	239-254-4261

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

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	10/22/2020

Similar Medicare Providers

1578707519 — ANNE MARIE ROSE STEINER SLP
Practice Location Address:

3361 PINE RIDGE RD STE 105
NAPLES, FL
34109-3937

Practice Phone: 239-254-4260
Practice Fax: 239-343-4249

1942642004 — MRS. REBECCA LYNN POTTS FNP-C
Practice Location Address:

3361 PINE RIDGE RD STE 101
NAPLES, FL
34109-3937

Practice Phone: 239-254-5920
Practice Fax: 239-254-5921

1134515687 — DR. AHMED MOHAMED MOHSEN ELBEDEWY MD, FAAP
Practice Location Address:

3361 PINE RIDGE RD STE 101
NAPLES, FL
34109-3937

Practice Phone: 239-254-5920
Practice Fax: 239-254-5921

1952757999 — FREDDY CESAR SOLANO JR. M.D.
Practice Location Address:

3361 PINE RIDGE RD STE 101
NAPLES, FL
34109-3937

Practice Phone: 239-254-5920
Practice Fax: 239-254-5921

1962146456 — CASSANDRA POLANCO
Practice Location Address:

3361 PINE RIDGE RD STE 105
NAPLES, FL
34109-3937

Practice Phone: 239-254-4260
Practice Fax:

1053004366 — HANNAH SCHOENMANN
Practice Location Address:

3361 PINE RIDGE RD STE 105A
NAPLES, FL
34109-3937

Practice Phone: 239-254-5950
Practice Fax:

Directions to “ MR. KURTIS SHREWSBERRY BCBA” 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 © 2007-2025 (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.