Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON MOONEY, BEHAVIOR SPECIALIST
Active Sole ProprietorSHANNON MOONEY, BEHAVIOR SPECIALIST is a Developmental Disabilities Clinic healthcare provider located in IDAHO FALLS, Idaho. NPI 1295388080 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1295388080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2019 (7.0783815051697 yrs)
- Last Updated
- Jul 20, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
376 5TH STIDAHO FALLS, ID, 834014762Browse ID providers · Browse ZIP 83401
- Phone
- 2084031559
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
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.