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SHANNON BAZAN BCBA
NPI 1912543885
Behavior Analyst in Saint Louis, MO

Active since November 26, 2019
650 OFFICE PKWY, SAINT LOUIS, MO 63141(314) 650-0206 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Bazan Bcba NPPES

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

SHANNON BAZAN BCBA (NPI 1912543885) is an individual behavior analyst provider in Saint Louis, Missouri, licensed in Missouri (2019044273) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1912543885
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSHANNON BAZANCredential: BCBA
Location Address650 OFFICE PKWYSaint Louis, MO 63141-7103
Mailing Address9 Horseshoe CtWright City, MO 63390-3725 · (314) 650-0206
Phone(314) 650-0206
Sole ProprietorYes
Enumeration DateNovember 26, 2019
✔ NPI 1912543885 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 MO · 2019044273
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.
650 OFFICE PKWY, Saint Louis, MO 63141
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Other Providers at the Same Location NPPES 20

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

AMANDA GILMOR
Behavior Analyst
650 OFFICE PKWY
SAINT LOUIS, MO 63141
St. Louis County (636) 221-1302
MRS. EBONY SHAW BCBA, LBA
Behavior Analyst
650 OFFICE PKWY
CREVE COEUR, MO 63141
St. Louis County (314) 517-2746
ALYSSA NICOLE MILES MA SLP-CCC
Speech-Language Pathologist
650 OFFICE PKWY
CREVE COEUR, MO 63141
St. Louis County (314) 838-1465
KASSIDY NEELEY PLBA
Behavior Analyst
650 OFFICE PKWY
CREVE COEUR, MO 63141
St. Louis County (314) 838-1465
JESSICA BROWN BCBA, LBA
Behavior Analyst
650 OFFICE PKWY
CREVE COEUR, MO 63141
St. Louis County (314) 395-7227
PAIGE KRUPINSKI
Assistant Behavior Analyst
650 OFFICE PKWY
CREVE COEUR, MO 63141
St. Louis County (314) 750-0068
MRS. ASHLEY ELIZABETH CONKLIN BCBA
Behavior Analyst
650 OFFICE PKWY
SAINT LOUIS, MO 63141
St. Louis County (573) 587-0744
KRYSTLE ANDERSON MA, BCBA
Behavior Analyst
650 OFFICE PKWY
CREVE COEUR, MO 63141
St. Louis County (314) 486-2311

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 Bazan's NPI number?

The NPI number for Shannon Bazan is 1912543885. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Where is Shannon Bazan located?

Shannon Bazan practices at 650 Office Pkwy, Saint Louis, MO 63141. The listed phone number is (314) 650-0206.

What is Shannon Bazan'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 Bazan was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.