Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON KIESS, M.ED., BCBA
Active Sole ProprietorSHANNON KIESS, M.ED., BCBA is a Behavior Analyst healthcare provider located in ST LUCIE WEST, Florida. NPI 1104333434 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · ST LUCIE WEST, FL
Registration Details
- NPI Number
- 1104333434
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2018 (8.5522565930738 yrs)
- Last Updated
- Jan 9, 2018
- License
-
1-16-23919 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2074 SE DOVERBROOK STST LUCIE WEST, FL, 349834698Browse FL providers · Browse ZIP 34983
- Phone
- 7725300575
- Primary Specialty
-
Behavior Analyst
103K00000X
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.