SHAPE SPACE BEHAVIORAL SOLUTIONS LLC NPI 1124980800

NPI Details

SHAPE SPACE BEHAVIORAL SOLUTIONS LLC is a behavior analyst in Neptune Beach, FL. The provider is 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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. SHAPE SPACE BEHAVIORAL SOLUTIONS LLC NPI is 1124980800. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 SANDPIPER PT
NEPTUNE BEACH, FL
ZIP 32266-526
Phone: (904) 910-7393
Fax: (904) 910-7393

The provider's authorized official is Shannon Beach Nowell .
The authorized official title is Bcba/owner and has the following contact phone number (904) 910-7393.

The enumeration date for this NPI number is 12/1/2025 and was last updated on 12/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: