Shannon Hickey
Individual provider Active NPI Behavior Technician · Hollywood, FL
NPI 1639848732 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1639848732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11011 Sheridan St Ste 210
Hollywood, FL 33026-1531 - Phone
- (954) 552-6668
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprout Behavioral Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
11011 Sheridan St Ste 210
Hollywood, FL 33026-1531
Mailing address
301 SW 1St Ave Apt 2208
Ft Lauderdale, FL 33301-4379
Other providers in Hollywood, FL
- Roni Herskovitz
- Dean Hertzler II
- Sabine Vera Hesse
- Hans Heubel
- Matthew Joseph Hibbs
- Carlos Hidalgo-Gato
- Miraidys De la Caridad Hidalgo
- Nathalie Hidalgo
- Calvin C Higgins
- Nicole Nichele Higgs-Doughty
All providers in Hollywood, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.