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NPI Code Detail

MEDICARE: TRACI L SHINABARGER LCSW, MPA, BCBA

MEDICARE:   TRACI L SHINABARGER  LCSW, MPA, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBCBA 1-12-11885MT
21041C0700XClinical Social WorkerBBH-LCSW-LIC-847MT

General Provider Information

NPI Number : 1740521764
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI L SHINABARGER LCSW, MPA, BCBA
Provider Business Mailing Address
First Line : 735 E BROADWAY
Second Line :
City : HELENA
State : MT
Zip : 59601-4313
Country : US
Telephone Number : 406-552-5762
Fax Number :
Provider Business Practice Location Address
First Line : 735 E BROADWAY
Second Line :
City : HELENA
State : MT
Zip : 59601-4313
Country : US
Telephone Number : 406-552-5762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2013
Last Update Date : 01/15/2026

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Directions to “ TRACI L SHINABARGER LCSW, MPA, BCBA” Practice Location

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