Individual provider · Type 1 NPI

Shannon Lee Petrisky, MS, LBS

Behavior Analyst · Carbondale, PA

NPI number 1447163415 Active

Practice location

38 N Scott St
Carbondale, PA 18407-1888

Call (570) 280-2800 Map

Fax (215) 643-5703

Mailing address

29 Park St
Carbondale, PA 18407-2001

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XBH007782 (PA)

Behavior Analyst: 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…

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About NPI 1447163415

Shannon Lee Petrisky, MS, LBS's National Provider Identifier is 1447163415, issued on Sep 23, 2026. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Carbondale, PA. The record was last updated on Sep 23, 2026.