Shannon Boe
Behavior Technician in Fort Myers, FL. Individual provider (NPI-1).
NPI number1003656232
StatusActive
Last updated in NPPESMay 27, 2024
Details
- NPI
- 1003656232
- Entity type
- Individual (NPI-1)
- Name
- Shannon Boe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2024
- Certification date
- May 27, 2024
- Last updated
- May 27, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3880 Colonial Blvd Ste 2Fort Myers, FL 33966-1062
Phone 239-351-4787
Mailing address
475 Calhoun StLabelle, FL 33935-4861
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 827 Behavior Technician providers in Fort Myers · All 10,624 providers in Fort Myers
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