Shannon Raimondo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

001279 Issued in NY

Practice address

5266 Seneca St
West Seneca, NY 14224-3707

Phone

(855) 295-3276

Fax

(800) 819-7806

NPI assigned

Apr 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Shaw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1427478346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD STE 560",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062380",
            "telephone_number": "855-295-3276",
            "fax_number": "800-819-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243707",
            "telephone_number": "855-295-3276",
            "fax_number": "800-819-7806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7041 Transit Rd",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140511108",
            "country_code": "US",
            "telephone_number": "855-295-3276",
            "fax_number": "800-819-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Computer Dr W Ste 210",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122051622",
            "country_code": "US",
            "telephone_number": "855-295-3276",
            "fax_number": "800-819-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1595 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146203635",
            "country_code": "US",
            "telephone_number": "855-295-3276",
            "fax_number": "800-819-7806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAIMONDO",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001279",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-13-14477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SHAW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachael Schneider Licensed Behavior Analyst PLLC
• Koehler Leslie Radder, MASSAGE THERAPIST
• Michael P Rade, MD
• Emily Radnovich
• Barbara Z. Radolinski, MD
• Susan C Rajczak, ANP
• Jyotsna Rajeswary, MD
• Alma Ramirez
• Olivia Corinne Ranalli, PT, DPT
• Maithridevi Rasalingam, MD

• Behavior Analyst in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.