Shannon Mooney, BEHAVIOR SPECIALIST
NPI #1295388080 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1295388080
- Entity Type
- Individual
- Name
- Shannon Mooney, BEHAVIOR SPECIALIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Credential
- BEHAVIOR SPECIALIST
- Enumeration Date
- Jul 20, 2019
- Last Updated
- Jul 20, 2019
Practice Location
- Address
- 376 5TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4762
- Phone
- (208) 403-1559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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