Healthcare Provider Details
I. General information
NPI: 1932051141
Provider Name (Legal Business Name): SHAYLA PAHLMANN RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3330 S NATIONAL AVE STE 100
SPRINGFIELD MO
65807-7337
US
IV. Provider business mailing address
3330 S NATIONAL AVE STE 100
SPRINGFIELD MO
65807-7337
US
V. Phone/Fax
- Phone: 417-221-6656
- Fax:
- Phone: 417-221-6656
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-25-448189 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: