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NPI Code Detail

MEDICARE: SHAWN CARTER

MEDICARE: SHAWN CARTER
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 TechnicianOH

General Provider Information

NPI Number : 1609753433
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN CARTER
Provider Business Mailing Address
First Line : 5240 W BANCROFT ST APT 7
Second Line :
City : TOLEDO
State : OH
Zip : 43615-3774
Country : US
Telephone Number : 567-358-1561
Fax Number : 567-358-1561
Provider Business Practice Location Address
First Line : 1030 CLAY AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2167
Country : US
Telephone Number : 513-740-1001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2025
Last Update Date : 08/21/2025

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Directions to “ SHAWN CARTER ” Practice Location

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