Shannon Behavior Donovan
Behavior Analyst in Warner Robins, GA. Individual provider (NPI-1).
NPI number1548866296
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1548866296
- Entity type
- Individual (NPI-1)
- Name
- Shannon Behavior Donovan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2020
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
644 Tallulah TrlWarner Robins, GA 31088-7625
Phone 478-225-2179
Mailing address
107 Independence Dr Ste DWarner Robins, GA 31088-7814
Phone 478-225-2179
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 38 Behavior Analyst providers in Warner Robins · All 2,395 providers in Warner Robins
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