NPI 1205293396
Shane Friend
Practice location
- Address
- 2808 S Picher Ave, Joplin, MO 64804-1645
- Phone
- (417) 347-7850
- Mailing address
- PO Box 2526, Joplin, MO 64803-2526
Registered specialties (2)
Assistant Behavior Analyst
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1205293396
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jan 2016
- Record last updated
- 28 Dec 2017
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.