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Shannon Mooney, BEHAVIORSPECIALIST
Developmental Disabilities Clinic/Center in Idaho Falls, Idaho
NPI 1295388080

Shannon Mooney is a Developmental Disabilities Clinic/Center based in Idaho Falls, ID and is specialized in Developmental Disabilities. Shannon Mooney practices in Idaho Falls, ID and has the professional credentials of BEHAVIORSPECIALIST. The NPI Number for Shannon Mooney is 1295388080 and holds a License No. (Idaho).

The current practice location address for Shannon Mooney is 376 5Th St, Idaho Falls, ID and can be reached out via phone at 208-403-1559.

Location: 376 5Th St, Idaho Falls, ID, 83401-4762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295388080
Provider Name
Shannon Mooney
Credential
BEHAVIORSPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
376 5Th St, Idaho Falls, ID, 83401-4762
Phone Number
208-403-1559
Fax Number
Provider Enumeration Date
07/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
376 5Th St
City
Idaho Falls
State
Idaho
Zip
83401-4762
Phone Number
208-403-1559
Fax Number
person
Provider Business Mailing Address Details
Address
376 5Th St
City
Idaho Falls
State
Idaho
Zip
83401-4762
Phone Number
208-403-1559
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
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.).
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