MICHAEL STUART SHADWELL
NPI 1376192849
Behavior Technician in Saint Louis, MO

Active since September 08, 2019
3814 WILMINGTON AVE, SAINT LOUIS, MO 63116(312) 420-9119 Get Directions Write a Review

NPPES record last updated: September 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Stuart Shadwell NPPES

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

MICHAEL STUART SHADWELL (NPI 1376192849) is an individual behavior technician in Saint Louis, Missouri, licensed in Missouri (RBT-19-89344) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1376192849
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMICHAEL STUART SHADWELL
Location Address3814 WILMINGTON AVESaint Louis, MO 63116-3221
Mailing Address3814 Wilmington AveSaint Louis, MO 63116-3221 · (312) 420-9119
Sole ProprietorNo
Enumeration DateSeptember 8, 2019
NPI 1376192849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in MO · RBT-19-89344
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
3814 WILMINGTON AVE, Saint Louis, MO 63116

Other Identifiers 1

OtherR181353039MO · Drivers License

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 Michael Shadwell's NPI number?

The NPI number for Michael Shadwell is 1376192849. It was assigned to this individual provider in the NPPES registry on September 8, 2019.

Where is Michael Shadwell located?

Michael Shadwell practices at 3814 Wilmington Ave, Saint Louis, MO 63116. The listed phone number is (312) 420-9119.

What is Michael Shadwell'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 Michael Shadwell was last updated on September 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.