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Organization
SHAPE SPACE BEHAVIORAL SOLUTIONS LLC
Active
Organization
SHAPE SPACE BEHAVIORAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BEACH NOWELL (BCBA/OWNER)
(904) 910-7393
Entity
Organization
Contact information
Practice address
2000 SANDPIPER PT, NEPTUNE BEACH, FL 32266-1526
(904) 910-7393
(904) 910-7393
Mailing address
2000 SANDPIPER PT, NEPTUNE BEACH, FL 32266-1526
(904) 910-7393
(904) 910-7393
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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