Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124253125 Individual Practitioner Female Practitioner

Shannon Root , BCBA

Behavior Analyst • Auburndale, FL

Professional Overview & Biography Verified Profile Summary

Shannon Root, BCBA is a registered healthcare professional specializing in Behavior Analyst in Auburndale, FL. Practice services are available at 117 E LAKE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

117 E Lake Ave
Suite D

Auburndale, FL 338233437

Telephone 8635513300
Fax 8635513301
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Auburndale, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Auburndale, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-03-1417

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medwaiver
675822396 (FL)
Commercial Insurance / Payer ID Medwaiver
675822398 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Brea Butchee

Behavior Technician

NPI 1003432824
Leonard Leblanc

Behavior Technician

NPI 1104311299
Allyson Sharon

Behavior Technician

NPI 1134851389
NPI 1205061215

Board Certified Behavior Analyst

Susan Owens

Behavior Analyst

NPI 1225539232
Keith Jordan

Behavior Technician

NPI 1295279263

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 19, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2009

Registered at 117 E LAKE AVE, SUITE D, AUBURNDALE, FL 338233437 (Tel: 8635513300)

📍
Updated Business Mailing Address May 19, 2009

Registered at PO BOX 1057, LAKE ALFRED, FL 338501057 (Tel: 8635513300)

👤
Provider Name / Credentials Updated May 19, 2009

Recorded as SHANNON ROOT, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2009

Behavior Analyst (License #1-03-1417 in FL)

🟢
Initial NPI Registration & Enumeration May 19, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124253125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2009
Last Update: May 19, 2009
Sole Proprietor: No

Mailing Address

Po Box 1057

Lake Alfred, FL 338501057

Phone: 8635513300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.