Shane Friend

Assistant Behavior Analyst · Joplin, MO

Individual Active NPI

NPI number 1205293396

Practice location

2808 S Picher Ave
Joplin, MO 64804-1645
Phone
(417) 347-7850

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NPI record

NPI
1205293396
Entity type
Individual (Type 1)
Enumeration date
January 21, 2016
Last updated
December 28, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assistant Behavior Analyst Primary 106E00000X 2017037743 MO
Case Manager/Care Coordinator 171M00000X — —

Mailing address

PO Box 2526
Joplin, MO 64803-2526
Phone
(417) 347-7579
Fax
(417) 347-0293

About Shane Friend

Shane Friend is a healthcare provider registered in the NPI registry with the primary taxonomy Assistant Behavior Analyst (code 106E00000X). The practice location is 2808 S Picher Ave, Joplin, MO 64804-1645. The NPI number 1205293396 was assigned on January 21, 2016 and the record was last updated on December 28, 2017.

Shane Friend lists a license in the registry: #2017037743 (MO) for Assistant Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane Friend?

The NPI number is 1205293396.

What is the phone number of Shane Friend?

The phone number listed for the practice location is (417) 347-7850.

Where is Shane Friend located?

2808 S Picher Ave, Joplin, MO 64804-1645.

What is the taxonomy code for Shane Friend?

The primary taxonomy code is 106E00000X – Assistant Behavior Analyst; 1 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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