Behavioral Intervention Therapy Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEHAVIORAL INTERVENTION THERAPY SERVICES LLC

Practice address

3212 Oleander Ave
Fort Pierce, FL 34982-6426

Phone

(772) 233-6446

Fax

(772) 264-3990

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon S Prince, BCBANPI 1497260665

Title

Founder

Phone

(561) 398-5309

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon S Prince, MA, BCBA, LBA, ITDS

  • Behavior Analyst
  • Fort Pierce, FL
  • NPI 1497260665
  NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1972173227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 SW MCCLELLEN ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536135",
            "telephone_number": "561-398-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 OLEANDER AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826426",
            "telephone_number": "772-233-6446",
            "fax_number": "772-264-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL INTERVENTION THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "561-398-5309",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841447",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wildens Beauvil, RN
• Nicole C Beckford-Richards, BS
• Jo Nell Beckum
• Linda Powell Beesley
• Meera Surujdai Beharry, M.D.
• Christopher William Beiser, D.O.
• Bridgette Bell
• Laura Benalcazar, PTA
• Melanie Benedix, MS, BCBA
• Brenda S Bennett

• Behavior Analyst in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.