Sheresa Fairclough, is a
Behavior Analyst based in Boynton Beach, Florida. Sheresa Fairclough is licensed to practice in * (Not Available) (license number ) and her current practice location is
10779 Cambay Cir, Boynton Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(855) 832-6727.
NPI number for Sheresa Fairclough is 1528515251 and her current mailing address is 4575 Se Dixie Hwy, Stuart, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528515251.
Healthcare Provider's Profile
| Full Name | Sheresa Fairclough |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 10779 Cambay Cir, Boynton Beach, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528515251
- Provider Enumeration Date: 09/11/2016
- Last Update Date: 09/11/2016
Medical Identifiers
Medical identifiers for Sheresa Fairclough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528515251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 103TS0200X | Psychologist - School | SS1114 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sheresa Fairclough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sheresa Fairclough,
4575 Se Dixie Hwy,
Stuart, FL 34997-6826
Ph: () - | Sheresa Fairclough,
10779 Cambay Cir,
Boynton Beach, FL 33437-3219
Ph: (855) 832-6727 |
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