SHINE TREATMENT CENTER LLC NPI 1497581508

NPI Information

  • NPI: 1497581508
  • Provider Name: SHINE TREATMENT CENTER LLC
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • Address: 3295 E REBEL LN
    SAN TAN VALLEY, AZ
    ZIP 85143
  • Phone: (208) 505-7176

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NPI Details

SHINE TREATMENT CENTER LLC is a behavior analyst in San Tan Valley, AZ. 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. SHINE TREATMENT CENTER LLC NPI is 1497581508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3295 E REBEL LN
SAN TAN VALLEY, AZ
ZIP 85143-705
Phone: (208) 505-7176

The provider's authorized official is David Lawlor .
The authorized official title is Chairman and has the following contact phone number (208) 505-7176.

The enumeration date for this NPI number is 9/13/2024 and was last updated on 9/21/2024.

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
1103K00000XBehavior AnalystYes
2106E00000XAssistant Behavior AnalystNo
3106S00000XBehavior TechnicianNo
4171M00000XCase Manager/Care CoordinatorNo
5373H00000XDay Training/Habilitation SpecialistNo

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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