NPI 1033886601
Timothy Shanley
Practice location
- Address
- 58-130 Kamehameha Hwy, Haleiwa, HI 96712-9714
- Phone
- (480) 987-2053
- Mailing address
- 20275 E Rittenhouse Rd STE 105, Queen Creek, AZ 85142-1661
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1033886601
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Aug 2021
- Record last updated
- 23 Aug 2021
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.