Shannon Fairless, BSW, CMII

ActiveIndividual ProviderBehavior Technician
NPI issued: November 11, 2009

Quick Facts

NPI Number
1629305776
TypeIndividual
StatusActive
SpecialtyBehavior Technician
Taxonomy106S00000X — Behavior Technician
Phone
(580) 256-8615
StateOK

NPI Validation Status: Verified

Valid 10-digit NPI number (1629305776)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 11, 2009)
Data source: CMS NPPES

Provider Overview

SHANNON FAIRLESS, BSW, CMII is a Behavior Technician provider based in Woodward, OK who has been registered with CMS since 2009. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1629305776
Provider TypeIndividual Provider
GenderFemale
CredentialBSW, CMII
StatusActive
Enumeration DateNovember 11, 2009

Practice Location

CityWoodward
StateOK
ZIP Code73801-3156
Phone(580) 256-8615

Specialties & Licenses

★ Primary
SpecialtyBehavior Technician
Taxonomy Code106S00000X
License StateOK

Mailing Address

CityWoodward
StateOK
ZIP Code73801-3156
Phone(580) 256-8615
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1629305776 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1629305776for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1629305776 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Behavior Technician

Behavior Technicians work under the supervision of a Board Certified Behavior Analyst (BCBA) to implement behavioral therapy plans, typically assisting individuals with Autism Spectrum Disorder (ASD) or other developmental delays.

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572,432
Behavior Technician Providers in the US

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Michael Shuman

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Patricia Peters

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Denise Dixon

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People Also Ask

What is Shannon Fairless's NPI number?
Shannon Fairless's NPI number is 1629305776, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Shannon Fairless's NPI currently active?
Yes, Shannon Fairless's NPI status is Active as of the latest CMS NPPES database updates.
What does Shannon Fairless specialize in?
Shannon Fairless specializes in Behavior Technician. The healthcare taxonomy code associated with this specialty is 106S00000X.
Where does Shannon Fairless practice?
Shannon Fairless practices in Woodward, OK 73801-3156.
When was Shannon Fairless's NPI issued?
Shannon Fairless's NPI was issued on November 11, 2009.
What is Shannon Fairless's provider type?
Shannon Fairless is registered as an Individual Provider under CMS NPI Type 1.