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

Shannon Gillooly

Individual provider Behavior Technician · NPI 1538782313

Shannon Gillooly is a Behavior Technician in Southern Pines, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

340 Commerce Ave Ste 6
Southern Pines, NC 28387-7115
Phone: (910) 688-3646
Fax: (910) 688-7057
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 20-112090 (NC)

Record details

NPI number1538782313
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020
Mailing address340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115

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