Active NPI
Shannon Bates, M.ED, BCBA
- Behavior Analyst
- Altoona, PA
National Provider Identifier
1376086793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33764
- Practice address
- 120 Byron Ave
Altoona, PA 16602-4106 - Phone
- (814) 201-2773
- NPI assigned
- Dec 2, 2016
- 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 Technician | 106S00000X | RBT-15-06331 | UT | |
| Behavior Analyst | 103K00000X | 1-18-33764 | Primary |
Addresses
Primary practice location
120 Byron Ave
Altoona, PA 16602-4106
Mailing address
6660 E 950 S
Huntsville, UT 84317-9726
Phone (801) 391-8970
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-15-06331 | UT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1376086793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6660 E 950 S",
"city": "HUNTSVILLE",
"state": "UT",
"postal_code": "843179726",
"telephone_number": "801-391-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BYRON AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024106",
"telephone_number": "814-201-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "SHANNON",
"credential": "M.ED, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "UT",
"license": "RBT-15-06331",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-33764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.