Provider Demographics
NPI:1679381099
Name:BARHITE, SHEA ROSE WEST (BEHAVIOR TECHNICIAN)
Entity type:Individual
Prefix:MISS
First Name:SHEA
Middle Name:ROSE WEST
Last Name:BARHITE
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 RESERVE CIR APT 201
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8974
Mailing Address - Country:US
Mailing Address - Phone:315-399-9703
Mailing Address - Fax:
Practice Address - Street 1:200 WAYMONT CT STE 122
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3413
Practice Address - Country:US
Practice Address - Phone:844-854-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician