Shane Goldwater
Shane Goldwater is a Case Manager/Care Coordinator in Wichita, Kansas. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1319 W May StWichita, KS 67213-3505
Phone: (316) 223-7159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1679399448 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 26, 2024 |
| Last updated in NPPES | February 26, 2025 |
| Certification date | February 26, 2025 |
| Mailing address | 1319 W May St, Wichita, KS 67213-3505 |
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