SHAWNA DONISE MOORE PSYD, LPC, BCBA
NPI 1033409099
Counselor in Stillwater, OK

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since April 12, 2011

614 S MAIN ST, STILLWATER, OK 74074(405) 824-3408(405) 564-0062 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shawna Donise Moore Psyd, Lpc, Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNA DONISE MOORE PSYD, LPC, BCBA (NPI 1033409099) is an individual counselor in Stillwater, Oklahoma, licensed in Oklahoma (4885) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1033409099

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHAWNA DONISE MOORECredential: PSYD, LPC, BCBA

Location Address614 S MAIN STStillwater, OK 74074-4059

Mailing Address2118 N Manning StStillwater, OK 74075-2950 · (405) 824-3408 · Fax (405) 564-0062

Phone(405) 824-3408

Fax(405) 564-0062

Sole ProprietorYes

Enumeration DateApril 12, 2011

Last NPPES UpdateFebruary 26, 2020

✔ NPI 1033409099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OK · 4885

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-15017996 (OK)

614 S MAIN ST, Stillwater, OK 74074

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›