NPI 1376086793 · live from the CMS NPI Registry
Shannon Bates, M.Ed, BCBA
Behavior Analyst in Altoona, PA. National Provider Identifier 1376086793, active.
NPI record
| NPI | 1376086793 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 120 Byron Ave, Altoona, PA 16602 |
| Practice phone | 814-201-2773 |
| Mailing address | 6660 E 950 S, Huntsville, UT 84317 |
| Enumerated | December 2, 2016 |
| Last updated | April 12, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-06331 (UT) |
| Behavior Analyst primary | 103K00000X | 1-18-33764 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.