NPI 1144793183 · live from the CMS NPI Registry
Shannon O'Brien, BCBA
Behavior Analyst in South Portland, ME. National Provider Identifier 1144793183, active.
NPI record
| NPI | 1144793183 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 236 Gannett Dr, South Portland, ME 04106 |
| Practice phone | 207-661-6725 |
| Mailing address | 190 Riverside St Unit 6b, Portland, ME 04103 |
| Enumerated | January 2, 2019 |
| Last updated | January 2, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-18-29414 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.