Vanessa L Shellman, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH003309 Issued in PA

Practice address

1990 W 3Rd St
Williamsport, PA 17701-7808

Phone

(570) 320-2816

NPI assigned

Nov 4, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1922335496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 WRONG RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177028127",
            "telephone_number": "570-954-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 W 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177017808",
            "telephone_number": "570-320-2816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "562 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "PA",
            "postal_code": "187043721",
            "country_code": "US",
            "telephone_number": "570-552-3700 x3720",
            "fax_number": "570-552-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELLMAN",
        "first_name": "VANESSA",
        "middle_name": "L",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maura May Sheehan, MD
• Keith Shenberger
• Mary Patricia Sherman, OTR
• Bridget Sherwood, LSW
• Daniel Shin, DO
• Amy Marie Shipton, COTA

• Behavior Analyst in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.