Organization
SHOUSE THERAPEUTIC BEHAVIORAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA SHOUSE EDD (EXECUTIVE DIRECTOR/OWNER)
(708) 921-8710
Entity
Organization
Contact information
Practice address
3045 S KANSAS EXPY, SPRINGFIELD, MO 65807-5969
(417) 429-1780
Mailing address
5156 S WALNUT HILL RD, SPRINGFIELD, MO 65810-2008
(708) 921-8710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/16/2026
Last updated
06/26/2026
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