Individual provider Active NPI

Shannon Faith O'Hanlon, MS

  • Behavior Analyst
  • Elmhurst, NY
National Provider Identifier
1073217337
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
004582-01 Issued in NY
Practice address
8403 57TH Ave
Elmhurst, NY 11373-4833
Phone
(718) 899-9060
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 004582-01 NY Primary
Developmental Therapist 222Q00000X 1695601231 NY

Addresses

Primary practice location

8403 57TH Ave
Elmhurst, NY 11373-4833

Mailing address

7737 76TH St
Glendale, NY 11385-8240
Phone (917) 680-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
004582-01NYMDBehavioral Analyst
1695601231NYMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Therapy Applied Behavior Analysis, PLLC Behavior Analyst PastSince Apr 6, 2023 Accepting new patients
Emilia'S Kids PastSince Apr 6, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1073217337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 76TH ST",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113858240",
            "telephone_number": "917-680-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 57TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734833",
            "telephone_number": "718-899-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HANLON",
        "first_name": "SHANNON",
        "middle_name": "FAITH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "004582-01",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": "1695601231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.