Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alisha Marie Shack

Individual provider Behavior Technician · NPI 1114847464

Alisha Marie Shack is a Behavior Technician in Red Wing, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4911 Learning Ln
Red Wing, MN 55066-4533
Phone: (651) 360-3202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1114847464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 17, 2026
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address4911 Learning Ln, Red Wing, MN 55066-4533

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