Active NPI
Shawn Ryan, BCBA
- Behavior Analyst
- Mount Laurel, NJ
National Provider Identifier
1285283283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36725
- Practice address
- 800 Birchfield Drive
Suite 801
Mount Laurel, NJ 08054 - Phone
- (484) 681-2170
- Fax
- (484) 320-8307
- NPI assigned
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-36725 | NJ | Primary |
Addresses
Primary practice location
800 Birchfield Drive
Suite 801
Mount Laurel, NJ 08054
Mailing address
583 Shoemaker Rd Ste 130
King of Prussia, PA 19406-4238
Phone (484) 681-2170
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1285283283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 SHOEMAKER RD STE 130",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064238",
"telephone_number": "484-681-2170",
"fax_number": "484-320-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIRCHFIELD DRIVE",
"address_2": "SUITE 801",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "08054",
"telephone_number": "484-681-2170",
"fax_number": "484-320-8307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "SHAWN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-19-36725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.