IndividualActive
Shannon Mooney, BEHAVIOR SPECIALIST
NPI 1295388080 · Developmental Disabilities Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1295388080
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Credential
- BEHAVIOR SPECIALIST
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
376 5th St
Idaho Falls, ID 83401-4762
Phone: (208) 403-1559
Approximate (ZIP-level) locationGet directions
Mailing address
376 5th St
Idaho Falls, ID 83401-4762
Registry dates
- Enumerated
- 2019-07-20
- Last updated
- 2019-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.