Shannen Kelley Odonnell, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3355 Mission Ave Ste 221
Oceanside, CA 92058-1328

Phone

(951) 813-4034

NPI assigned

May 4, 2019

Last updated

May 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556928000000",
    "number": "1700441870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 FAIRHOPE LOOP",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817031",
            "telephone_number": "760-518-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MISSION AVE STE 221",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581328",
            "telephone_number": "951-813-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONNELL",
        "first_name": "SHANNEN",
        "middle_name": "KELLEY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-04",
        "last_updated": "2019-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gertrude Ochi, RN
• Lois C Ochrym, LCSW
• Odenwalder Dental Inc (Mission Family Dentistry)
• Sean Kyle Odenwalder, DMD
• Rachel Odermatt, MD
• Bismark Youngmin Oh, MD
• Bianca Ruby Ojeda
• Hejira Smith Ojeda, M.S.
• Mary Okoth, LCSW
• Rachel Kristine Olesen

• Behavior Technician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2019; 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.