MCKENNA R SHADE
NPI 1114749041
Behavior Technician in San Mateo, CA
About Mckenna R Shade NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENNA R SHADE (NPI 1114749041) is an individual behavior technician in San Mateo, California and active in the NPI registry since October 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN MATEO, CA 94402
SAN MATEO, CA 94402
SAN MATEO, CA 94402
SAN MATEO, CA 94402
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mckenna Shade's NPI number?
The NPI number for Mckenna Shade is 1114749041. It was assigned to this individual provider in the NPPES registry on October 30, 2024.
Where is Mckenna Shade located?
Mckenna Shade practices at 400 Concar Dr, San Mateo, CA 94402. The listed phone number is (650) 931-6300.
What is Mckenna Shade's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Mckenna Shade was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.