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NPI Code Detail

MEDICARE: MS. SHANEE' NATOYA KEARNS RBT

MEDICARE: MS. SHANEE' NATOYA KEARNS RBT
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 TechnicianTX

General Provider Information

NPI Number : 1801387022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHANEE' NATOYA KEARNS RBT
Provider Business Mailing Address
First Line : 10503 METRIC DR
Second Line :
City : DALLAS
State : TX
Zip : 75243-5514
Country : US
Telephone Number : 972-644-2076
Fax Number :
Provider Business Practice Location Address
First Line : 10503 METRIC DR
Second Line :
City : DALLAS
State : TX
Zip : 75243-5514
Country : US
Telephone Number : 972-644-2076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2018
Last Update Date : 05/23/2018

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Directions to “ MS. SHANEE' NATOYA KEARNS RBT” Practice Location

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