Whalio Doctors

NPI 1023471976

Shane Knoll

Practitioner Behavior Analyst Santa Fe, NM

Practice location

Address
2892 Pueblo Bonito, Santa Fe, NM 87507-2549
Phone
(508) 665-8044

Registered specialties

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-16-21909 (NM)

Registry record

NPI
1023471976
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Mar 2016
Record last updated
20 Jun 2016

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.