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

MS. Shannette Kirkwood

Individual provider Behavior Analyst · NPI 1922695352

MS. Shannette Kirkwood is a Behavior Analyst in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

12242 N 48th Dr
Glendale, AZ 85304-2207
Phone: (219) 512-4679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 10782736 (AZ)

Record details

NPI number1922695352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 31, 2020
Last updated in NPPESDecember 31, 2020
Certification dateDecember 30, 2020

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