IndividualActive
Shannon Kiess, M.ED., BCBA
NPI 1104333434 · Behavior Analyst · St Lucie West, FL
Provider details
- NPI number
- 1104333434
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- M.ED., BCBA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-16-23919 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2074 Se Doverbrook St
St Lucie West, FL 34983-4698
Phone: (772) 530-0575
Approximate (ZIP-level) locationGet directions
Mailing address
2074 Se Doverbrook St
Port Saint Lucie, FL 34983-4698
Registry dates
- Enumerated
- 2018-01-09
- Last updated
- 2018-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.