Shannon Vitelli, BCBA, MED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-07-3375 Issued in PA

Practice address

833 Hurricane Shoals Rd NE
Lawrenceville, GA 30043-4821

Phone

(833) 628-8476

Fax

(770) 200-1563

NPI assigned

Jun 6, 2016

Last updated

Jun 13, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exceptional Learning LLC

  • Early Intervention Provider Agency
  • Perkiomenville, PA
  • NPI 1578875035
  NPD (past) Authorized official
• Atlanta Autism Center Inc

  dba Atlanta Autism Center

  • Behavior Analyst
  • Lawrenceville, GA
  • NPI 1861156978
  NPD

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1487003083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SCHWENK ROAD",
            "city": "PERKIOMENVILLE",
            "state": "PA",
            "postal_code": "18074",
            "telephone_number": "215-888-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 HURRICANE SHOALS RD NE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434821",
            "telephone_number": "833-628-8476",
            "fax_number": "770-200-1563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Gravel Pk",
            "address_2": "Office 100",
            "address_purpose": "LOCATION",
            "city": "schwenksville",
            "state": "PA",
            "postal_code": "19473",
            "country_code": "US",
            "telephone_number": "215-888-8284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Technology Pkwy S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922996",
            "country_code": "US",
            "telephone_number": "833-628-8476",
            "fax_number": "770-200-1563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7138 Highway 212",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300168047",
            "country_code": "US",
            "telephone_number": "833-628-8476",
            "fax_number": "770-200-1563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1356 Bluegrass Lakes Pkwy",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300043395",
            "country_code": "US",
            "telephone_number": "833-628-8476",
            "fax_number": "770-200-1563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITELLI",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "BCBA, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-07-3375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittany Vo
• Katrina Vo, PHARM.D.
• Tiffany An Vo, MS, RD, LD
• Truc Vo

• Behavior Analyst in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.