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SHANNON MOONEY BEHAVIOR SPECIALIST
NPI 1295388080
Clinic/Center - Developmental Disabilities in Idaho Falls, ID

Active since July 20, 2019
376 5TH ST, IDAHO FALLS, ID 83401(208) 403-1559 Get Directions Write a Review

NPPES record last updated: July 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Mooney Behavior Specialist NPPES

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

SHANNON MOONEY BEHAVIOR SPECIALIST (NPI 1295388080) is an individual developmental disabilities provider in Idaho Falls, Idaho and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1295388080
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameSHANNON MOONEYCredential: BEHAVIOR SPECIALIST
Location Address376 5TH STIdaho Falls, ID 83401-4762
Mailing Address376 5th StIdaho Falls, ID 83401-4762 · (208) 403-1559
Phone(208) 403-1559
Sole ProprietorYes
Enumeration DateJuly 20, 2019
✔ NPI 1295388080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
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.).

376 5TH ST, Idaho Falls, ID 83401
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Other Names 1

Former Name (1)Shannon Gray

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 Shannon Mooney's NPI number?

The NPI number for Shannon Mooney is 1295388080. It was assigned to this individual provider in the NPPES registry on July 20, 2019. The provider is also known as Shannon Gray.

Where is Shannon Mooney located?

Shannon Mooney practices at 376 5th St, Idaho Falls, ID 83401. The listed phone number is (208) 403-1559.

What is Shannon Mooney's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Shannon Mooney was last updated on July 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.