Shaneedah Wood

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

255 Primera Blvd Ste 160
Lake Mary, FL 32746-2168

Phone

(407) 995-6106

NPI assigned

Aug 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1083341697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PRIMERA BLVD STE 160",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PRIMERA BLVD STE 160",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462168",
            "telephone_number": "407-995-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SHANEEDAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Wolfgang
• Isabel Grace Wolfinger
• Women'S Care Florida LLC
• Womens Health Center of Central Florida LLC
• Womens Health Centers of Florida, Inc
• Frank Woodard
• Adam Woodhead, DPT
• Laura Ann Wozniak, RPT
• Wpi Acquisition Corp.
• Laurie L Wren, LCSW

• Behavior Technician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.