NPI 1184583510 · live from the CMS NPI Registry
Shiloh Brooke Boner
Behavior Analyst in Cape Girardeau, MO. National Provider Identifier 1184583510, active.
NPI record
| NPI | 1184583510 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 106 S Farrar Dr Ste 107, Cape Girardeau, MO 63701 |
| Practice phone | 573-841-8837 |
| Mailing address | 231 County Highway 265, Oran, MO 63771 |
| Enumerated | January 21, 2026 |
| Last updated | January 21, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 2024034351 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.