Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE FRIEND
Active Sole ProprietorSHANE FRIEND is a Assistant Behavior Analyst healthcare provider located in JOPLIN, Missouri. NPI 1205293396 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · JOPLIN, MO
Registration Details
- NPI Number
- 1205293396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2016 (10.553681006893 yrs)
- Last Updated
- Dec 28, 2017
- License
-
2017037743 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2808 S PICHER AVEJOPLIN, MO, 648041645Browse MO providers · Browse ZIP 64804
- Phone
- 4173477850
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
- Additional Specialty
- Assistant Behavior Analyst
Other Assistant Behavior Analyst Providers in JOPLIN, MO
| Name | Credential | NPI |
|---|---|---|
| JENNA R DIMETROFF | — | 1790261378 |
| PAULETTE GUDGEON | — | 1184426777 |
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.