SHANE FRIEND

JOPLIN, MO
NPI1205293396
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106E00000X Assistant Behavior Analyst
(Licence: MO  2017037743)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2016-01-21
Last Update Date2017-12-28
Business Address
SHANE FRIEND
2808 S PICHER AVE
JOPLIN, MO 64804-1645
Phone number: 417-347-7850
Mailing Address
SHANE FRIEND
PO BOX 2526
JOPLIN, MO 64803-2526
Phone number: 417-347-7579