Provider Demographics
NPI:1356115521
Name:SHAPING BEHAVIOR TOGETHER CONSULTING
Entity type:Organization
Organization Name:SHAPING BEHAVIOR TOGETHER CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KIERSTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:732-682-0286
Mailing Address - Street 1:1223 36TH TER N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-1052
Mailing Address - Country:US
Mailing Address - Phone:732-682-0286
Mailing Address - Fax:
Practice Address - Street 1:1223 36TH TER N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-1052
Practice Address - Country:US
Practice Address - Phone:732-682-0286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty