Shannon Harris, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19565 Issued in GA

Practice address

6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645

Phone

(678) 648-7644

Fax

(678) 648-7479

NPI assigned

Feb 3, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapyland LLC

  • Behavior Analyst
  • Alpharetta, GA
  • NPI 1710392055
  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1891153086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6867 SOUTHPOINT DR N STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168005",
            "telephone_number": "904-619-6071",
            "fax_number": "904-212-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 SHILOH RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051645",
            "telephone_number": "678-648-7644",
            "fax_number": "678-648-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHANNON",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-15-19565",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "11519565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-15-19565",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andra P. Harris-Martin, ED.S., LPC
• Darren Leonard Harris, MD
• Kendra Harris
• Lanashia Harris, M.D.
• Nikki L Harris, CBHC-BS
• Yanda Lorraine Harris, OTA
• Mercies Hart
• Payton Charles Hart
• Tara Hartman, MS
• Dana Marie Harvey, D.C.

• Behavior Analyst in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.