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

Shannon Marie Leahy

Individual provider Early Intervention Provider Agency · NPI 1134854268

Shannon Marie Leahy is an Early Intervention Provider Agency in Ballston Lake, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

30 Abby Ln
Ballston Lake, NY 12019-1423
Phone: (631) 560-2796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1382270201 (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1134854268
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 21, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022

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