Individual provider · Type 1 NPI

Alexandria Nicole Shannon

Developmental Therapist · Springdale, AR

NPI number 1821706508 Active

Practice location

2210 Main Dr
Springdale, AR 72762-6802

Call (479) 856-6397 Map

Fax (479) 856-6412

Mailing address

PO Box 130
Rogers, AR 72757-0130

Other practice locations

  • 3307 N Dixieland Rd, Rogers, AR 72756-6816 · (479) 986-5150

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 1821706508

Alexandria Nicole Shannon's National Provider Identifier is 1821706508, issued on Nov 10, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Springdale, AR. The record was last updated on Nov 10, 2022.