Lequita Beaton, M.S. ,ATC
Specialist/Technologist, Athletic Trainer in Pemberton, NJ. Individual provider (NPI-1).
NPI number1497968085
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497968085
- Entity type
- Individual (NPI-1)
- Name
- Lequita Beaton
- Credential
- M.S. ,ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25MT00132200 | NJ | Yes |
Practice location
601 Pemberton Browns Mills RdPemberton, NJ 08068-1536
Phone 609-894-9311
Mailing address
78 Catherine DrFranklinville, NJ 08322-2764
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Other Athletic Trainer providers in Pemberton, NJ
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