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

Shannon Rose

Individual provider Behavior Technician · NPI 1851047815

Shannon Rose is a Behavior Technician in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

2919 Breezewood Ave Ste 101
Fayetteville, NC 28303-5283
Phone: (910) 484-1711
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 12589 (NC)

Record details

NPI number1851047815
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 28, 2022
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

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