Shelby Killen
Behavior Technician in Lutz, FL. Individual provider (NPI-1).
NPI number1548095441
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1548095441
- Entity type
- Individual (NPI-1)
- Name
- Shelby Killen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2024
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
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 |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
20857 Haulover CvLutz, FL 33558-5900
Phone 843-307-2365
Mailing address
20857 Haulover CvLutz, FL 33558-5900
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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