National Provider Identifier
Shannon Jean Carr, MS, CAS, NCSP, BCBA
Shannon Jean Carr, MS, CAS, NCSP, BCBA is listed in the NPPES registry with a primary specialty of Behavior Analyst in Fairport, NY and a listed phone number of (818) 345-2345.
Profile Overview
- NPI
- 1750624789
- Provider Type
- Individual
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- March 27, 2013
- Last Updated
- June 21, 2020
Practice Location
- 6 N Main St Ste 110
- Fairport, NY 14450-1581
Phone: (818) 345-2345
Mailing Address
- 23 Pennicott Cir
- Penfield, NY 14526-9541
Specialties
- Behavior Analyst (103K00000X)
- Behavior Analyst (103K00000X)
- School Psychologist (103TS0200X)
Full Record
- NPI
- 1750624789
- Entity Type
- Individual
- Last Name
- Carr
- First Name
- Shannon
- Middle Name
- Jean
- Credential
- MS, CAS, NCSP, BCBA
- Provider Other Last Name
- Prince
- Provider Other First Name
- Shannon
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 23 Pennicott Cir
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-9541
- Mailing Country
- US
- Mailing Phone
- (585) 303-7329
- Practice Street Address
- 6 N Main St Ste 110
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1581
- Practice Country
- US
- Practice Phone
- (818) 345-2345
- Enumeration Date
- March 27, 2013
- Last Updated
- June 21, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Behavior Analyst (103K00000X), Behavior Analyst (103K00000X), School Psychologist (103TS0200X)