Shannon Breslin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3227 Issued in TX

Practice address

1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5094

Phone

(310) 406-1500

Fax

(310) 406-1531

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1508499468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 450",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815094",
            "telephone_number": "310-406-1500",
            "fax_number": "310-406-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 450",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815094",
            "telephone_number": "310-406-1500",
            "fax_number": "310-406-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLIN",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST",
            "identifier": "3227",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbreslin@baetherapy.com",
            "affiliation": "N",
            "address_1": "1900 Chaparral Dr",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786812142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meredith Lynn Brand, MA, SLP
• Hailey Brandell
• Charles Branham
• Jessica Braxton, PTA
• Rick Breland, MA, LPC
• Brett Strong
• Brett W Hamilton OD
• Brett W Hamilton OD PA (Round Rock Family Eye Care)
• Brewer & Easter Enterprises, PLLC (Counselors Of Round Rock)
• Carolyn Brewer

• Behavior Analyst in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.