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

Shannon Wilson, BCBA

Individual provider Assistant Behavior Analyst · NPI 1003304171

Shannon Wilson, BCBA is an Assistant Behavior Analyst in Tampa, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

1146 Dogwood Ave
Tampa, FL 33613-1718
Phone: (813) 418-0528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-50676
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 01910399

Record details

NPI number1003304171
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address4809 Ehrlich Rd, Tampa, FL 33624-2073

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