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SHANNON ROOT BCBA
NPI 1124253125
Behavior Analyst in Auburndale, FL

Active since May 19, 2009
117 E LAKE AVE, SUITE D, AUBURNDALE, FL 33823(863) 551-3300(863) 551-3301 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Root Bcba NPPES

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

SHANNON ROOT BCBA (NPI 1124253125) is an individual behavior analyst provider in Auburndale, Florida, licensed in Florida (1-03-1417) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1124253125
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSHANNON ROOTCredential: BCBA
Location Address117 E LAKE AVE, SUITE DAuburndale, FL 33823-3437
Mailing AddressPo Box 1057Lake Alfred, FL 33850-1057 · (863) 551-3300 · Fax (863) 551-3301
Phone(863) 551-3300
Fax(863) 551-3301
Sole ProprietorNo
Enumeration DateMay 19, 2009
✔ NPI 1124253125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in FL · 1-03-1417
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
117 E LAKE AVE, Auburndale, FL 33823
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Other Identifiers 2

Other675822398FL · Medwaiver
Other675822396FL · Medwaiver

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL BORDEN-JORDAN BCBA
Behavior Analyst
117 E LAKE AVE, SUITE D
AUBURNDALE, FL 33823
Polk County (863) 551-3300
MS. CAROLYN BUTLER BCABA
Behavior Analyst
117 E LAKE AVE, SUITE D
AUBURNDALE, FL 33823
Polk County (863) 551-3300

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 Shannon Root's NPI number?

The NPI number for Shannon Root is 1124253125. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Shannon Root located?

Shannon Root practices at 117 E Lake Ave Suite D, Auburndale, FL 33823. The listed phone number is (863) 551-3300.

What is Shannon Root's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Shannon Root was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.