Shawn Sara Lucas, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

16-21612 Issued in GA

Practice address

1406 Hays St Ste 8
Tallahassee, FL 32301-2843

Phone

(850) 521-0242

NPI assigned

Dec 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shawn McDonough Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481328000000",
    "number": "1437693496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N OAK STREET EXT",
            "address_2": "APT 812",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057605",
            "telephone_number": "570-575-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 HAYS ST STE 8",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012843",
            "telephone_number": "850-521-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SHAWN",
        "middle_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-10",
        "last_updated": "2016-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "16-21612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "MCDONOUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ping Lu
• Phillip Reid Lubbers, M.D.
• Kelsea Addison Lucas Kwasneski, MM, MT-BC
• Mary Lonogan Lucas, RN BSN
• Montrez Lucas Jr.
• Brandy Luce
• Nicholas Ludergnani
• Geofrey Lugakingira, PHARMD, RPH
• Kurt C Luhmann, MD
• Auburn Lukasik

• Behavior Technician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.