Individual provider · Type 1 NPI

Shana Fentress, BCBA

Behavior Analyst · Port St. Lucie, FL

NPI number 1902358708 Active

Practice location

1887 SE Port St Lucie Blvd
Port St. Lucie, FL 34952-5530

Fax (772) 219-1339

Mailing address

2992 Rodina Dr Apt 572E
Melbourne, FL 32940-6530

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-17-30488 (FL)
Behavior Analyst Primary 103K00000X1-18-33526 (FL)

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 1902358708

Shana Fentress, BCBA's National Provider Identifier is 1902358708, issued on Oct 27, 2016. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Nov 21, 2023.