Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Bazan, BCBA

Individual provider Behavior Analyst · NPI 1912543885

Shannon Bazan, BCBA is a Behavior Analyst in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

650 Ofc Pkwy
Saint Louis, MO 63141-7103
Phone: (314) 650-0206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 2019044273 (MO)

Record details

NPI number1912543885
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorYes
NPI enumeratedNovember 26, 2019
Last updated in NPPESNovember 26, 2019
Mailing address9 Horseshoe Ct, Wright City, MO 63390-3725

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