Shannon S Prince, MA, BCBA, LBA, ITDS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-67173 Issued in FL

Practice address

2800 Okeechobee Rd
Fort Pierce, FL 34947-4613

Phone

(772) 233-6446

Fax

(772) 264-3990

NPI assigned

Dec 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Shannon S Chatman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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

• Behavioral Intervention Therapy Services LLC

  • Behavior Analyst
  • Fort Pierce, FL
  • NPI 1972173227
  NPD Authorized official
• The ABA Loft

  • Behavior Analyst
  • Port St Lucie, FL
  • NPI 1578391066
  NPD Authorized official
• Five Star ABA Services Corp.

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1700522844
  NPD (past)
• Treasure Coast ABA Services

  • Behavior Technician
  • Palm City, FL
  • NPI 1316669732
  NPD (past)

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1497260665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 OKEECHOBEE RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474613",
            "telephone_number": "772-233-6446",
            "fax_number": "772-264-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 OKEECHOBEE RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474613",
            "telephone_number": "772-233-6446",
            "fax_number": "772-264-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "SHANNON",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA, LBA, ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-09",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-67173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023279500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CHATMAN",
            "middle_name": "S",
            "prefix": "MS.",
            "credential": "MA, BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Premise Health of Florida Medical PA
• Prestige Haven Care Services
• Marlene Sandra Price, RN
• Rise Ann Prickett, LMHC
• Prime Nursing Solutions LLC
• Tammy Pritchard, DNP, NP-C, PMHNP-BC
• Professional Dental Alliance of Ft. Pierce, PLLC
• Professional Medical Supply, Inc.
• Progressive Orthopaedic
• Prudencio E. Laroya, M.D. PA

• Behavior Analyst in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.