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

Shannon Black

Individual provider Developmental Therapist · NPI 1063948248

Shannon Black is a Developmental Therapist in Tampa, Florida. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

550 N Reo St
Tampa, FL 33609-1061
Phone: (813) 374-2070
Fax: (813) 337-0937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1063948248
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2017
Last updated in NPPESMay 7, 2017
Mailing address2681 Roosevelt Blvd, Apt 6107, Clearwater, FL 33760-2962

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