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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANA FENTRESS, BCBA

Active

SHANA FENTRESS, BCBA is a Behavior Analyst healthcare provider located in PORT ST LUCIE, Florida. NPI 1902358708 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · PORT ST LUCIE, FL

Registration Details

NPI Number
1902358708
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2016 (9.7830940270173 yrs)
Last Updated
Nov 21, 2023
Licenses
RBT-17-30488 (FL)
1-18-33526 (FL)

Practice Information

Address
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL, 349525530
Browse FL providers · Browse ZIP 34952
Phone
7724630444
Fax
7722191339
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in PORT ST LUCIE, FL

Name Credential NPI
ALIYAH LONGHURST BCBA, LMFT 1770779597
PAULA MARIA ANTONELLI MS, BCBA 1265690952
MS. ANGELIQUE M WALSH MA 1992963565
CINDY R DAVIS 1528399094
ROBERT ANDREAS ROLLE MS, BCBA 1851609838
STACEY LYNN VARGAS BCBA 1629387501
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.