Christian Shannon, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

644 Ferguson Dr Ste 200
Orlando, FL 32805-1023

Phone

(407) 574-4629

NPI assigned

Jul 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1508475013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MAITLAND CENTER PKWY STE 240",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517415",
            "telephone_number": "407-574-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 FERGUSON DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051023",
            "telephone_number": "407-574-4629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327075372",
            "country_code": "US",
            "telephone_number": "321-972-4039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "CHRISTIAN",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsantiago@camenbehavioral.org",
            "affiliation": "N",
            "address_1": "148 Wilshire Blvd",
            "city": "Casselberry",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327075372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Shanahan, PA-C
• Amber M Shane, DPM
• Mariah Nicole Shane
• Kavin Shankar
• Archana Shettikere Shankaralingappa, D.D.S
• Emily Grace Shannon, CPO
• Georgia Shannon
• Michelle D Shannon
• Darrin Shapiro
• Devon Lorette Shapiro, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.