Active NPI
Shannon Faith O'Hanlon, MS
- Behavior Analyst
- Elmhurst, NY
National Provider Identifier
1073217337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 004582-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 004582-01 | NY | MD | Behavioral Analyst |
| 1695601231 | NY | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Therapy Applied Behavior Analysis, PLLC | Behavior Analyst | Past | Accepting new patients |
| Emilia'S Kids | Past | 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.
-
- Early Intervention Provider Agency
- Elmhurst, NY
- NPI 1295970150
-
- Behavior Analyst
- Elmhurst, NY
- NPI 1235098286
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.