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NPI Code Detail

MEDICARE: SHELBY K FILLINGER RBT

MEDICARE:   SHELBY K FILLINGER  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 TechnicianRBT-20-111149WV
2106S00000XBehavior Technician21-170251WV
3106S00000XBehavior TechnicianRBT-21-170251WV

General Provider Information

NPI Number : 1871125807
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY K FILLINGER RBT
Provider Business Mailing Address
First Line : 888 OAKWOOD RD STE 300
Second Line :
City : CHARLESTON
State : WV
Zip : 25314-2071
Country : US
Telephone Number : 681-265-0999
Fax Number :
Provider Business Practice Location Address
First Line : 888 OAKWOOD RD STE 300
Second Line :
City : CHARLESTON
State : WV
Zip : 25314-2071
Country : US
Telephone Number : 681-265-0999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2020
Last Update Date : 06/20/2022

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888 OAKWOOD RD STE 300
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1417428533 — KELLY R BEGIL RBT
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CHARLESTON, WV
25314-2071
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1013474048 — MORGAN ANN GOODALL BCBA
Practice Location Address:
888 OAKWOOD RD STE 300
CHARLESTON, WV
25314-2071
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1831713395 — ALYSSA RICCARDI FALBO-HILL MS, CCC-SLP
Practice Location Address:
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Directions to “ SHELBY K FILLINGER RBT” Practice Location

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