IndividualActive
Michael Shadwell
NPI 1376192849 · Behavior Technician · Saint Louis, MO
Michael Shadwell is a Behavior Technician provider in Saint Louis, MO (NPI 1376192849).
Provider details
- NPI number
- 1376192849
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-19-89344 (MO)
Practice location
3814 Wilmington Ave
Saint Louis, MO 63116-3221
Phone: (312) 420-9119
Street-level locationGet directions
Mailing address
3814 Wilmington Ave
Saint Louis, MO 63116-3221
Registry dates
- Enumerated
- 2019-09-08
- Last updated
- 2019-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.