Individual provider · Type 1 NPI

Shannon Leann Brown

Developmental Therapist · Idaho Falls, ID

NPI number 1376278515 Active

Practice location

150 Shoup Avenue
Idaho Falls, ID 83402

Call (208) 528-4062 Map

Fax (208) 528-4076

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1376278515

Shannon Leann Brown's National Provider Identifier is 1376278515, issued on Jul 21, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 21, 2022.