Shannon Gilbert, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12402

Practice address

118 Long Pond Rd
Ste 205
Plymouth, MA 02360-2662

Phone

(508) 732-0088

Fax

(508) 732-0078

NPI assigned

Oct 25, 2012

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

Credentials

Master of Science

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1841543089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19019 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563253",
            "telephone_number": "818-345-2345",
            "fax_number": "866-587-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LONG POND RD",
            "address_2": "STE 205",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602662",
            "telephone_number": "508-732-0088",
            "fax_number": "508-732-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "SHANNON",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-12402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Giannakoulis
• Nicole I Giardino, APRN, FNP-C
• Renee Victoria Gibson, LCAT
• Madeleine Giglio
• Margaret Gilbert, M.ED
• Sara Lynn Gilberto
• Laurie Gilburne, LCISW
• Brian M. Gill, M.D.
• Stephen Craig Gillard, MD
• Elizabeth Karen Gillott, MSW, LCSW

• Behavior Analyst in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.