Kiegan Shackleton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2190 Altamira Dr
Reno, NV 89523-1520

Phone

(530) 314-1971

NPI assigned

Feb 9, 2026

Last updated

Feb 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1215888730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 ALTAMIRA DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231520",
            "telephone_number": "530-314-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 E Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891214427",
            "country_code": "US",
            "telephone_number": "702-799-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHACKLETON",
        "first_name": "KIEGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sexton, BCBA-D
• Hannah Mae-Marie Sexton
• Katherine Sexton
• Joshua Logan Seynaeve, DO
• Jeffrey B Shackelton, M.D.
• Reagan Nicole Shacklett
• April Dawne Shade
• Beth Shadle, PHYSICAL THERAPIST
• Meri L. Shadley, PH.D.
• Sharla Shafer

• Behavior Technician in Reno, NV
• Providers in Reno, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.