SHANNON MOONEY BEHAVIOR SPECIALIST NPI 1295388080

NPI Information

  • NPI: 1295388080
  • Provider Name: SHANNON MOONEY, BEHAVIOR SPECIALIST
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Individual
  • Address: 376 5TH ST
    IDAHO FALLS, ID
    ZIP 83401
  • Phone: (208) 403-1559

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NPI Details

Shannon Mooney, BEHAVIOR SPECIALIST is a developmental disabilities clinic center in Idaho Falls, ID. The provider is 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.). Shannon Mooney, BEHAVIOR SPECIALIST NPI is 1295388080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

376 5TH ST
IDAHO FALLS, ID
ZIP 83401-762
Phone: (208) 403-1559

The enumeration date for this NPI number is 7/20/2019 and was last updated on 7/20/2019.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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