Active NPI
Shauna Marie Cole
- Behavior Technician
- Henderson, NV
National Provider Identifier
1639905565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 375 N Stephanie St Ste 1514
Henderson, NV 89014-8902 - Phone
- (702) 550-2791
- NPI assigned
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
375 N Stephanie St Ste 1514
Henderson, NV 89014-8902
Mailing address
375 N Stephanie St Ste 1514
Henderson, NV 89014-8902
Phone (702) 550-2791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Fluency, LLC | Behavior Technician | Current | Accepting new patients |
| Trifecta Team Jasa PLLC | Behavior Technician | Past | Accepting new patients |
Locations
375 N Stephanie St
Ste 1514
Henderson, NV 89014
Phone (702) 550-2791
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1639905565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 N STEPHANIE ST STE 1514",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148902",
"telephone_number": "702-550-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 N STEPHANIE ST STE 1514",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148902",
"telephone_number": "702-550-2791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "SHAUNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.