| Shape Space Behavioral Solutions Llc | |
|
2000 Sandpiper Pt Neptune Beach FL 32266-1526 | |
| (904) 910-7393 | |
| (904) 910-7393 |
| Full Name | Shape Space Behavioral Solutions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2000 Sandpiper Pt, Neptune Beach, Florida |
| Authorized Official Name and Position | Shannon Beach Nowell (BCBA/OWNER) |
| Authorized Official Contact | 9049107393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shape Space Behavioral Solutions Llc 2000 Sandpiper Pt Neptune Beach FL 32266-1526 Ph: (904) 910-7393 | Shape Space Behavioral Solutions Llc 2000 Sandpiper Pt Neptune Beach FL 32266-1526 Ph: (904) 910-7393 |
| NPI Number | 1124980800 |
|---|---|
| Provider Enumeration Date | 12/01/2025 |
| Last Update Date | 12/01/2025 |
| Certification Date | 12/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124980800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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