Active NPI
Shannon Arthur
- Behavior Analyst
- Woburn, MA
National Provider Identifier
1306383492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2426
- Practice address
- 5 Constitution Way
Woburn, MA 01801-1199 - Phone
- (516) 306-1852
- NPI assigned
- Jan 26, 2017
- Last updated
- Jun 14, 2022
- 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 | 001007-1 | NY | |
| Behavior Analyst | 103K00000X | 2426 | MA | Primary |
Addresses
Primary practice location
5 Constitution Way
Woburn, MA 01801-1199
Mailing address
25 Birch LN
Ipswich, MA 01938-1107
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 |
|---|---|---|---|
| 001007-1 | NY | MD | Behavioral Analyst |
| 2426 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1306383492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BIRCH LN",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019381107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CONSTITUTION WAY",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011199",
"telephone_number": "516-306-1852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTHUR",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001007-1",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
- Beth Arinsburg, MS, CF-SLP
- Arise Counseling and Therapeutic Services LLC
- Kira E Armstrong, PHD
- Mia Arrington
- Arthritis and Rheumatology Center
- Nithu Priyam Arunagiri
- Ashley Holmes, LLC
- Athena Dental Group PLLC (Athena Dental Group)
- Athletic Edge Physical Therapy
- Athletic Evolution Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.