Shape Space Behavioral Solutions LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHAPE SPACE BEHAVIORAL SOLUTIONS LLC

Practice address

2000 Sandpiper PT
Neptune Beach, FL 32266-1526

Phone

(904) 910-7393

Fax

(904) 910-7393

NPI assigned

Dec 1, 2025

Organization subpart

No

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

Authorized official

Name

Shannon Beach NowellNPI 1780164954

Title

Bcba/Owner

Phone

(904) 910-7393

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Nowell

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1780164954
  NPD Authorized official

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1124980800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SANDPIPER PT",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322661526",
            "telephone_number": "904-910-7393",
            "fax_number": "904-910-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SANDPIPER PT",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322661526",
            "telephone_number": "904-910-7393",
            "fax_number": "904-910-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPE SPACE BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "NOWELL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "BEACH",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "904-910-7393"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Neptune Beach, FL
• Providers in Neptune Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.