Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shannon Smith

Individual provider Behavior Technician · NPI 1023583879

Shannon Smith is a Behavior Technician in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

510 Clinton Sq
Rochester, NY 14604-1700
Phone: (585) 200-7106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 018545 (NY)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1023583879
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2018
Last updated in NPPESSeptember 20, 2026
Certification dateSeptember 20, 2026

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