Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMUEL SHANNON
NPI 1063324333
Behavior Technician in Las Vegas, NV

Active since September 21, 2026
111 SUNSHINE COAST LN, LAS VEGAS, NV 89148(702) 337-5890 Get Directions Write a Review

NPPES record added: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Samuel Shannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL SHANNON (NPI 1063324333) is an individual behavior technician in Las Vegas, Nevada, licensed in Nevada (RBT6495) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1063324333
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameSAMUEL SHANNON
Location Address111 SUNSHINE COAST LNLas Vegas, NV 89148-2711
Mailing Address111 Sunshine Coast LnLas Vegas, NV 89148-2711 · (702) 337-5890
Sole ProprietorYes
Enumeration DateSeptember 21, 2026
NPPES CertifiedSeptember 21, 2026
✔ NPI 1063324333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License✔ Licensed in NV · RBT6495
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
111 SUNSHINE COAST LN, Las Vegas, NV 89148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Shannon's NPI number?

The NPI number for Samuel Shannon is 1063324333. It was assigned to this individual provider in the NPPES registry on September 21, 2026.

Where is Samuel Shannon located?

Samuel Shannon practices at 111 Sunshine Coast Ln, Las Vegas, NV 89148. The listed phone number is (702) 337-5890.

What is Samuel Shannon's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Samuel Shannon was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.