Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISA LUELLAMAE SHACKLEFORD
ActiveMARISA LUELLAMAE SHACKLEFORD is a Behavior Analyst healthcare provider located in FARIBAULT, Minnesota. NPI 1083344246 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · FARIBAULT, MN
Registration Details
- NPI Number
- 1083344246
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2022 (4.1332038324237 yrs)
- Last Updated
- Jun 12, 2022
Practice Information
- Address
-
218 CENTRAL AVE NFARIBAULT, MN, 550215278Browse MN providers · Browse ZIP 55021
- Phone
- 5074915475
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in FARIBAULT, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. SHAWNA MOLLOY | BCBA | 1972278505 |
| GETACHEW TSEHAYE | — | 1013672765 |
| MOHAMED HASSAN | — | 1780344598 |
| ASHA OYOW | — | 1083368492 |
| ZAHARA ALI | — | 1982358396 |
| RAHMO A ABDIWAHAB | — | 1629715362 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.