Shannon Adams
Individual provider Active NPI Behavior Technician · Windsor, CT
NPI 1104644301 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1104644301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700 - Phone
- (860) 683-9991
- NPI assigned
- Sep 27, 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 | CT | Yes |
Addresses
Primary practice location
360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Other providers in Windsor, CT
- Kaylin Abate
- Minu Mary Abraham
- Jazmine Roxanne Aceituno
- Sandra Acheampong
- Lucilla Marino Acosta
- Victoria Adetola Adedeji
- Rachel Adelsberger
- Chastity M Adger
- Advanced Ecp, PA
- Advanced Hearing Healthcare Centers Inc
All providers in Windsor, CT · Behavior Technician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 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.