Active NPI
Sheila Panno, B.S., RBT
- Behavior Analyst
- Clearwater, FL
National Provider Identifier
1386013951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB293269
- Practice address
- 2597 Countryside Blvd
#101
Clearwater, FL 33761-4522 - Phone
- (727) 331-9192
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BACB293269 | FL | Primary |
Addresses
Primary practice location
2597 Countryside Blvd
#101
Clearwater, FL 33761-4522
Mailing address
2597 Countryside Blvd
#101
Clearwater, FL 33761-4522
Phone (727) 331-9192
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB293269 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1386013951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2597 COUNTRYSIDE BLVD",
"address_2": "#101",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337614522",
"telephone_number": "727-331-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2597 COUNTRYSIDE BLVD",
"address_2": "#101",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337614522",
"telephone_number": "727-331-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANNO",
"first_name": "SHEILA",
"credential": "B.S., RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "BACB293269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.