Individual provider · Type 1 NPI

Marisa Luellamae Shackleford

Behavior Analyst · Faribault, MN

NPI number 1083344246 Active

Practice location

218 Central Ave N
Faribault, MN 55021-5278

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1083344246

Marisa Luellamae Shackleford's National Provider Identifier is 1083344246, issued on Jun 12, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Faribault, MN. The record was last updated on Jun 12, 2022.