Shannon Bellanca, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

2701 Midway Dr Unit 371141
San Diego, CA 92137-6110

Phone

(724) 974-9932

NPI assigned

Jun 12, 2019

Last updated

Jun 18, 2021By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aim Behavior Services, LLC

  • Behavior Analyst
  • Oceanside, CA
  • NPI 1194252759
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1720647837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 BOWSPRIT RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144529",
            "telephone_number": "213-915-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MIDWAY DR UNIT 371141",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921376110",
            "telephone_number": "724-974-9932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Bowsprit Rd",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144529",
            "country_code": "US",
            "telephone_number": "213-915-8277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLANCA",
        "first_name": "SHANNON",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbellanca@aimbehavior.com",
            "affiliation": "Y",
            "endpointDescription": "Encrypted email",
            "affiliationName": "Aim Behavior Services, LLC",
            "address_1": "851 Bowsprit Rd",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919144529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bella Vita RMP LLC (Visiting Angels)
• Misty Dawn Bellah, RN
• Bellahomecare LLC
• Deanna Bellama-Poste
• Hailey Bellamy
• Jake Belland
• Richard H Bellars, M.D.
• Kassidy Bellas
• Melisssa Jean Belle, DNP
• Joseph Bellezzo, M.D.

• Assistant Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.