Individual provider Active NPI

Shania Carol Mary McCoy, M. ED., BCBA, BSL

  • Behavior Analyst
  • Souderton, PA
National Provider Identifier
1306590773
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-47729 Issued in PA
Practice address
420 Cowpath Rd
Souderton, PA 18964-2036
Phone
(267) 203-1500
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-47729 PA Primary

Addresses

Primary practice location

420 Cowpath Rd
Souderton, PA 18964-2036

Mailing address

1012 Chandler St
Philadelphia, PA 19111-2611
Phone (215) 350-9381

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
Credentials
Bachelor of Science - Law, Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Creek Foundation CurrentSince Feb 6, 2022 Accepting new patients

Locations

420 Cowpath Rd
Souderton, PA 18964
Phone (267) 203-1500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1306590773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CHANDLER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112611",
            "telephone_number": "215-350-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COWPATH RD",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642036",
            "telephone_number": "267-203-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "SHANIA",
        "middle_name": "CAROL MARY",
        "credential": "M. ED., BCBA, BSL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-21-47729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.