NPI 1003304171

Shannon Wilson, BCBA

Practitioner Behavior Analyst Tampa, FL

Practice location

Address: 1146 Dogwood Ave, Tampa, FL 33613-1718
Phone: (813) 418-0528
Mailing address: 4809 Ehrlich Rd, Tampa, FL 33624-2073

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-21-50676

Other Behavior Analyst providers in Florida →

Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 01910399

Other Assistant Behavior Analyst providers in Florida →

Registry record

NPI: 1003304171
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2018
Record last updated: 4 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.