Provider Demographics
NPI:1508666959
Name:ROBBINS, SHAYNA DANIELLE (RBT)
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:DANIELLE
Last Name:ROBBINS
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 US HIGHWAY 467
Mailing Address - Street 2:
Mailing Address - City:WORTHVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41098-9761
Mailing Address - Country:US
Mailing Address - Phone:502-525-5417
Mailing Address - Fax:
Practice Address - Street 1:1405 GILLOCK RD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:KY
Practice Address - Zip Code:41008-9511
Practice Address - Country:US
Practice Address - Phone:502-525-5417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYBACB1214609106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician