Shuron Latrae Witcher, is a
Behavior Technician based in Magnolia, Arkansas. Shuron Latrae Witcher is licensed to practice in Arkansas (license number ) and her current practice location is
617 E North St, Magnolia, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 234-0739.
NPI number for Shuron Latrae Witcher is 1184212383 and her current mailing address is 1055 E Colorado Blvd Ste 560, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184212383.
Healthcare Provider's Profile
Full Name | Shuron Latrae Witcher |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 617 E North St, Magnolia, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184212383
- Provider Enumeration Date: 01/04/2021
- Last Update Date: 11/07/2024
Medical Identifiers
Medical identifiers for Shuron Latrae Witcher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184212383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (Arkansas) | Primary |
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. Shuron Latrae Witcher 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 |
Shuron Latrae Witcher, 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 Ph: (818) 241-6780 | Shuron Latrae Witcher, 617 E North St, Magnolia, AR 71753-3120 Ph: (870) 234-0739 |
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