Provider Demographics
NPI:1861049926
Name:BOST ALLEN, SHINILLE YVETTE (MS)
Entity type:Individual
Prefix:
First Name:SHINILLE
Middle Name:YVETTE
Last Name:BOST ALLEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:998 OLD EAGLE SCHOOL RD STE 1206
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1805
Mailing Address - Country:US
Mailing Address - Phone:610-710-4024
Mailing Address - Fax:
Practice Address - Street 1:998 OLD EAGLE SCHOOL RD STE 1206
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1805
Practice Address - Country:US
Practice Address - Phone:610-710-4024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst