Shannon Leigh Carroll
Individual provider Active NPI Behavior Technician · Lunenburg, MA
NPI 1760955405 · NPPES record last updated Nov 18, 2019
Key facts
- NPI
- 1760955405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 132 Robbs Hill Rd
Lunenburg, MA 01462-2167 - Phone
- (508) 596-3121
- NPI assigned
- Jan 4, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
132 Robbs Hill Rd
Lunenburg, MA 01462-2167
Mailing address
43 Chubb Rd
Framingham, MA 01701-7804
Other providers in Lunenburg, MA
- Jenny Getrude Bulya
- Madeline Ann Burgoyne
- Alma Rocio Cabazos Fernandez
- Kimberly Cardona
- Pamela Diane Carey
- Lovely Casimir
- Tonya N Cassidy
- Amelia A Cenotti
- Central ABA Services LLC
- Brooke Marie Chamberland
All providers in Lunenburg, MA · Behavior Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2019. 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.