Active NPI
Shawn McCabe
- Behavior Analyst
- Janesville, WI
National Provider Identifier
1902660137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1193-140
- Practice address
- 462 Midland Rd
Janesville, WI 53546-2332 - Phone
- (608) 352-6627
- NPI assigned
- Feb 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1193-140 | WI | Primary |
Addresses
Primary practice location
462 Midland Rd
Janesville, WI 53546-2332
Mailing address
745 S Van Buren St
Stoughton, WI 53589-2398
Phone (608) 572-2741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1193-140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1902660137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 S VAN BUREN ST",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535892398",
"telephone_number": "608-572-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 MIDLAND RD",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462332",
"telephone_number": "608-352-6627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE",
"first_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "1193-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.