Active NPI
Shanna Bahry
- Behavior Analyst
- East Providence, RI
National Provider Identifier
1285984914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 228
- Practice address
- 42 Mary Ave Apt 2
East Providence, RI 02914-3517 - Phone
- (401) 699-2312
- NPI assigned
- Sep 10, 2012
- Last updated
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 228 | RI | Primary |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
42 Mary Ave Apt 2
East Providence, RI 02914-3517
Mailing address
42 Mary Ave Apt 2
East Providence, RI 02914-3517
Phone (401) 699-2312
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228 | RI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meaningful Hope Inc. | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1285984914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 MARY AVE APT 2",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143517",
"telephone_number": "401-699-2312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 MARY AVE APT 2",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143517",
"telephone_number": "401-699-2312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHRY",
"first_name": "SHANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "RI",
"license": "228",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.