Shannon Anderson
Individual provider Active NPI Behavior Technician · Manhattan, KS
NPI 1073321071 · NPPES record last updated Dec 21, 2024
Key facts
- NPI
- 1073321071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 9912 Lavender LN
Manhattan, KS 66502-1531 - Phone
- (785) 370-6460
- NPI assigned
- Dec 21, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
9912 Lavender LN
Manhattan, KS 66502-1531
Mailing address
9912 Lavender LN
Manhattan, KS 66502-1531
Phone (785) 370-6460
Other providers in Manhattan, KS
- Yvonne E Amanor-Boadu
- Krista Andereck
- Tiffany Marie Anders
- Holly Danielle Anderson
- Jared Anderson
- Holly Andreasen
- Rachel Andresen
- Andrews & Associates, Inc.
- Casey D Andrews
- Anesthesia Associates LLP
All providers in Manhattan, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.