Shape Behavioral Services LLC

Behavior Analyst · Glasgow, KY

Organization Active NPI

NPI number 1154088417

Practice location

625 S L Rogers Wells Blvd # 218
Glasgow, KY 42141-1074
Phone
(423) 281-4333

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NPI record

NPI
1154088417
Entity type
Organization (Type 2)
Enumeration date
November 22, 2021
Last updated
June 5, 2023
Certified
June 5, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Assistant Behavior Analyst 106E00000X — —
Behavior Technician 106S00000X — —
Community/Behavioral Health Agency 251S00000X — —

Authorized official

Name
Alex Kiss
Title
Director
Phone
(423) 281-4333

Other names

  • Shape Behavioral Services

About Shape Behavioral Services LLC

Shape Behavioral Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 625 S L Rogers Wells Blvd # 218, Glasgow, KY 42141-1074. The NPI number 1154088417 was assigned on November 22, 2021 and the record was last updated on June 5, 2023.

The authorized official for this organization is Alex Kiss, Director.

Frequently asked questions

What is the NPI number of Shape Behavioral Services LLC?

The NPI number is 1154088417.

What is the phone number of Shape Behavioral Services LLC?

The phone number listed for the practice location is (423) 281-4333.

Where is Shape Behavioral Services LLC located?

625 S L Rogers Wells Blvd # 218, Glasgow, KY 42141-1074.

What is the taxonomy code for Shape Behavioral Services LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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