Barry, Shannon

Barry, Shannon is an individual health care provider with primary practice located at 8 Bourne St , Clinton MA 01510-2204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / School is her primary health care specialty. Barry, Shannon can be contacted via phone (508) 254-1393.

Contact Information

Primary practice address
8 Bourne St Clinton MA 01510-2204
Phone: (508) 254-1393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Massachusetts
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Massachusetts

Profile Details

NPI number 1376919290
LBN Legal business name Barry, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2015
Last updated Apr 24th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376919290 NPPES
Massachusetts MEDICAID 110026265E

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