National Provider Identifier

Shannon Raimondo

Shannon Raimondo is listed in the NPPES registry with a primary specialty of Behavior Analyst in West Seneca, NY and a listed phone number of (855) 295-3276.

NPI 1427478346West Seneca, NYBehavior Analyst

Profile Overview

NPI
1427478346
Provider Type
Individual
Primary Specialty
Behavior Analyst
Enumeration Date
April 17, 2014
Last Updated
June 22, 2021

Practice Location

  • 5266 Seneca St
  • West Seneca, NY 14224-3707

Phone: (855) 295-3276

Mailing Address

  • 1055 E Colorado Blvd Ste 560
  • Pasadena, CA 91106-2380

Specialties

  • Behavior Analyst (103K00000X)
  • Behavior Analyst (103K00000X)
Full Record
NPI
1427478346
Entity Type
Individual
Last Name
Raimondo
First Name
Shannon
Provider Other Last Name
Shaw
Provider Other First Name
Shannon
Provider Other Last Name Type Code
1
Mailing Street Address
1055 E Colorado Blvd Ste 560
Mailing City
Pasadena
Mailing State
CA
Mailing ZIP Code
91106-2380
Mailing Country
US
Mailing Phone
(855) 295-3276
Mailing Fax
(800) 819-7806
Practice Street Address
5266 Seneca St
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3707
Practice Country
US
Practice Phone
(855) 295-3276
Practice Fax
(800) 819-7806
Enumeration Date
April 17, 2014
Last Updated
June 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
June 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Behavior Analyst (103K00000X), Behavior Analyst (103K00000X)