Individual provider · Type 1 NPI
Shannon Mooney, BEHAVIOR SPECIALIST
Developmental Disabilities Clinic/Center · Idaho Falls, ID
Practice location
376 5th St
Idaho Falls, ID 83401-4762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1295388080
Shannon Mooney, BEHAVIOR SPECIALIST's National Provider Identifier is 1295388080, issued on Jul 20, 2019. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 20, 2019.