Provider Demographics
NPI:1902670342
Name:SHELTON, SADIE CELESTE (RBT)
Entity type:Individual
Prefix:
First Name:SADIE
Middle Name:CELESTE
Last Name:SHELTON
Suffix:
Gender:F
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:PO BOX 259
Mailing Address - Street 2:
Mailing Address - City:SHALIMAR
Mailing Address - State:FL
Mailing Address - Zip Code:32579-0259
Mailing Address - Country:US
Mailing Address - Phone:850-362-6824
Mailing Address - Fax:850-362-6824
Practice Address - Street 1:401 E CHASE ST STE 200
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-6160
Practice Address - Country:US
Practice Address - Phone:850-362-6824
Practice Address - Fax:850-362-6824
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-308635106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician