Provider Demographics
NPI:1326852294
Name:NIEVES, EILEEN SHAITY
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:SHAITY
Last Name:NIEVES
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 1:10010 ABERCORN ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4560
Mailing Address - Country:US
Mailing Address - Phone:912-328-9770
Mailing Address - Fax:
Practice Address - Street 1:10010 ABERCORN ST STE 2B
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4560
Practice Address - Country:US
Practice Address - Phone:912-328-9770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician