NPI 1013451616

Shannon Marie Burress, BCBA

Practitioner Behavior Analyst Boise, ID

Practice location

Address: 1087 E Park Blvd STE 11, Boise, ID 83712-7722
Phone: (208) 584-6130
Mailing address: 5295 S Mesa Trail Way, Meridian, ID 83642-8442

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-16-24312 (ID)

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Developmental Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1013451616
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2016
Record last updated: 24 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.