# TRACI L SHINABARGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740521764
- **Gender:** F
- **Credential:** LCSW, MPA, BCBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | BCBA 1-12-11885 | MT | — |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-847 | MT | Yes |
| 1041C0700X | Clinical Social Worker | SWP-LCSW-LIC-847 | MT | Yes |

## Other

- **Enumeration date:** 03/15/2013
- **Last updated:** 01/15/2026
