SHANA FENTRESS BCBA
NPI 1902358708
Behavior Analyst in Port St Lucie, FL

Active since October 27, 2016
1887 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 463-0444(772) 219-1339 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 21, 2023, Jan 7, 2019, Oct 27, 2016 (3 updates tracked since 2016).

About Shana Fentress Bcba NPPES

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

SHANA FENTRESS BCBA (NPI 1902358708) is an individual behavior analyst provider in Port St Lucie, Florida, licensed in Florida (1-18-33526) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1902358708
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSHANA FENTRESSCredential: BCBA
Location Address1887 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5530
Mailing Address2992 Rodina Dr Apt 572eMelbourne, FL 32940-6530 · (717) 385-4162
Fax(772) 219-1339
Sole ProprietorNo
Enumeration DateOctober 27, 2016
Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1902358708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in FL · 1-18-33526
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.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-17-30488 (FL)
1887 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952

Other Identifiers 1

Medicaid019859300FL

Other Providers at the Same Location NPPES 19

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

Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
Behavior Analyst
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
Specialist
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902358708, enumerated as an "individual" on October 27, 2016.

The provider is located at 1887 SE PORT ST LUCIE BLVD PORT ST LUCIE, FL 34952 and the phone number is (772) 463-0444.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.