Shawn Fenimore, M.S., BSL

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH002873 Issued in PA

Practice address

647 Wyncroft LN
Apt 1
Lancaster, PA 17603-6930

Phone

(484) 356-3628

NPI assigned

Nov 20, 2015

Last updated

Nov 20, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science - Law, Master of Science

State licenses

Practice roles

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.

• T. W. Ponessa and Associates Counseling

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1881144004
  NPD (past)

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1588038020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 WYNCROFT LN",
            "address_2": "APT 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036930",
            "telephone_number": "484-356-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 WYNCROFT LN",
            "address_2": "APT 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036930",
            "telephone_number": "484-356-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENIMORE",
        "first_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "M.S., BSL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Felice, DO
• Jennifer A Felice, PA-C
• Chad Fellenbaum, PTA
• Genessa Felton
• Pia Boben Fenimore, M.D.
• Ashley Ann Fenninger, PA-C
• Bethany Jane Ferguson
• Brenda J Ferguson, LMT
• Jean K Ferguson, MS
• Sojourna Ferguson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.