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

Shannon MA

Individual provider Behavior Technician · NPI 1124953765

Shannon MA is a Behavior Technician in Costa Mesa, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

3186 Airway Ave Ste A
Costa Mesa, CA 92626-4650
Phone: (714) 881-0427
Fax: (714) 327-0673
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1124953765
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650

Other providers in Costa Mesa