Provider Demographics
NPI:1669972048
Name:ALAYON, SHELBY M
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:M
Last Name:ALAYON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 DENTON TAP RD APT 418
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8158
Mailing Address - Country:US
Mailing Address - Phone:940-391-8909
Mailing Address - Fax:
Practice Address - Street 1:2801 DENTON TAP RD APT 418
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8158
Practice Address - Country:US
Practice Address - Phone:940-391-8909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
TX5705103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator