NPI age
6 years
Enumerated 2019-07-20
● Active
Type 1 · Individual
Shannon Mooney, BEHAVIOR SPECIALIST
Mooney is 1 of 4 clinic/center providers in Idaho Falls and 1 of 40 in Idaho.
Primary specialty
Clinic/Center
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-07-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 40 active clinic/center providers in Idaho.
NPI age
6 years
↑ 2 yr above median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Practice location
376 5th St
Idaho Falls, ID 834014762
Mailing address
376 5th St
Idaho Falls, ID 834014762
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new clinic/center provider has been added in Idaho Falls in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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