Individual provider Active NPI

Shianna Everson, BCBA

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1295304236
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
505-140 Issued in WI
Practice address
2822 W Cucharras St
Colorado Springs, CO 80904-2448
Phone
(715) 544-6847
Fax
(715) 600-9046
NPI assigned
Jun 23, 2021
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-19-94099 WI
Behavior Analyst 103K00000X 505-140 WI Primary

Addresses

Primary practice location

2822 W Cucharras St
Colorado Springs, CO 80904-2448

Mailing address

4500 Industrial Park Rd
Stevens Point, WI 54481-5014
Phone (715) 544-6847

Other identifiers 1

IdentifierTypeStateIssuer
RBT-09-94099OtherWIRBT #

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

LicenseStateTypeSpecialty
505-140WIMDBehavioral Analyst
RBT-19-94099WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Academy Inc PastSince Jun 1, 2021 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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1295304236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 INDUSTRIAL PARK RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815014",
            "telephone_number": "715-544-6847",
            "fax_number": "715-600-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 W CUCHARRAS ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042448",
            "telephone_number": "715-544-6847",
            "fax_number": "715-600-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "SHIANNA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "RBT-19-94099",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "505-140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT #",
            "identifier": "RBT-09-94099",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.