Healthcare Provider Details

I. General information

NPI: 1609786235
Provider Name (Legal Business Name): SHAWNA LEA MCALISTER RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 KY HIGHWAY 467
SANDERS KY
41083-9679
US

IV. Provider business mailing address

6417 HIGHWAY 316
CAMPBELLSBURG KY
40011-9015
US

V. Phone/Fax

Practice location:
  • Phone: 502-525-8259
  • Fax: 502-525-8259
Mailing address:
  • Phone: 502-525-8259
  • Fax: 502-525-8259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-480440
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: