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

Shannon Rose Wade

Individual provider Behavior Technician · NPI 1003787904

Shannon Rose Wade is a Behavior Technician in Fairfield, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2450 Martin Rd Ste 100
Fairfield, CA 94534-1018
Phone: (855) 223-7123
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1003787904
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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