Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON ELIZABETH LEWIS M.S., BCBA
NPI 1124781158
Behavior Analyst in Bowie, MD

Q: What is Shannon Lewis's NPI number?

The NPI number for Shannon Lewis is 1124781158. It was assigned to this individual provider in the NPPES registry on October 17, 2021.

Q: What is Shannon Lewis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Lewis was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.

Active since October 17, 2021

12530 FAIRWOOD PKWY STE 102, BOWIE, MD 20720(410) 995-8388 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2026, May 21, 2025, Oct 17, 2021 (3 updates tracked since 2021).

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About Shannon Elizabeth Lewis M.s., Bcba NPPES

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

SHANNON ELIZABETH LEWIS M.S., BCBA (NPI 1124781158) is an individual behavior analyst provider in Bowie, Maryland, licensed in Maryland (1-21-52193) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1124781158

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSHANNON ELIZABETH LEWISCredential: M.S., BCBA

Location Address12530 FAIRWOOD PKWY STE 102Bowie, MD 20720-6357

Mailing Address12530 Fairwood Pkwy Ste 102Bowie, MD 20720-6357 · (410) 995-8388

Phone(410) 995-8388

Sole ProprietorNo

Enumeration DateOctober 17, 2021

Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1124781158 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 MD · 1-21-52193

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.

12530 FAIRWOOD PKWY STE 102, Bowie, MD 20720

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 16

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

CHARNETTA KRISTIN YVONNE WHITEHEAD

Behavior Analyst