Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Robert Shine

Individual provider Behavior Technician · NPI 1730083858

Robert Shine is a Behavior Technician in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

109 E Merrill Ave
Fond Du Lac, WI 54935-3553
Phone: (920) 929-2820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (WI)

Record details

NPI number1730083858
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2026
Last updated in NPPESOctober 3, 2026
Certification dateOctober 3, 2026

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