Shawn Terrel Walker

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1089 Tyson Ave Apt B
Abington, PA 19001-4415

Phone

(267) 770-1542

NPI assigned

Feb 12, 2021

Last updated

Feb 12, 2021By the provider in NPPES

Sex

Male

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1518550383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 TYSON AVE APT B",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014415",
            "telephone_number": "267-770-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 TYSON AVE APT B",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014415",
            "telephone_number": "267-770-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHAWN",
        "middle_name": "TERREL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1089Tysonavenue",
            "affiliation": "N",
            "address_1": "1089 Tyson Ave Apt B",
            "city": "Abington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190014415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Waddelow, M.D.
• Cindy L Wade
• Brianna Marie Wagner, PT, DPT
• Shimon Waldfogel, MD
• Lauren Walheim, MD
• Frankie D Wallace, DOULA
• Laura Walters
• David Joseph Walz, MD
• Justin H Wang, PA-C
• Fahad Waqar, M.D.

• Behavior Analyst in Abington, PA
• Providers in Abington, PA by specialty
• Behavior Analyst in Pennsylvania

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