Mr Shane David Isley, BCBA is a
Behavior Analyst based in Seattle, Washington. Mr Shane David Isley is licensed to practice in * (Not Available) (license number 1-08-4236) and his current practice location is
2415 Western Ave Apt 307, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 905-4660.
NPI number for Mr Shane David Isley is 1265756043 and his current mailing address is 24 Roy St # 434, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265756043.
Healthcare Provider's Profile
| Full Name | Mr Shane David Isley |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 2415 Western Ave Apt 307, Seattle, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265756043
- Provider Enumeration Date: 03/23/2010
- Last Update Date: 03/23/2010
Medical Identifiers
Medical identifiers for Mr Shane David Isley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265756043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 60099445 (Washington) | Secondary |
| 103K00000X | Behavior Analyst | 1-08-4236 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shane David Isley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Shane David Isley, BCBA
24 Roy St # 434,
Seattle, WA 98109-4018
Ph: (206) 905-4660 | Mr Shane David Isley, BCBA
2415 Western Ave Apt 307,
Seattle, WA 98121-1364
Ph: (206) 905-4660 |
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