Burnick, Shannon

Burnick, Shannon is an individual health care provider with primary practice located at 148 Wilshire Blvd , Casselberry FL 32707-5372. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Burnick, Shannon can be contacted via phone (321) 972-4039.

Contact Information

Primary practice address
148 Wilshire Blvd Casselberry FL 32707-5372
Phone: (321) 972-4039
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-21-11993 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-63745 Florida

Profile Details

NPI number 1285276121
LBN Legal business name Burnick, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2019
Last updated Jan 24th, 2023 - 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 1285276121 NPPES
Florida MEDICAID 104530100

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