Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497260665 Individual Practitioner Female Practitioner

Shannon S Prince , MA, BCBA, LBA, ITDS

Behavior Analyst • Fort Pierce, FL

Professional Overview & Biography Verified Profile Summary

Shannon Prince, MA, BCBA, LBA, ITDS is a registered healthcare professional specializing in Behavior Analyst in Fort Pierce, FL. Practice services are available at 2800 OKEECHOBEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2800 Okeechobee Rd

Fort Pierce, FL 349474613

Telephone 7722336446
Fax 7722643990
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fort Pierce, FL

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

Practicing in Fort Pierce, 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

CMS Verified: 2025-05-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-23-67173

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
023279500 (FL)

Career & Practice History Timeline

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

15 Historical Events
👤
Provider Name / Credentials Updated May 12, 2025

Recorded as SHANNON PRINCE, MA, BCBA, LBA, ITDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2025

Developmental Therapist

📍
Updated Practice Location February 22, 2025

Registered at 2800 OKEECHOBEE RD, FORT PIERCE, FL 349474613 (Tel: 7722336446)

📍
Updated Business Mailing Address February 22, 2025

Registered at 2800 OKEECHOBEE RD, FORT PIERCE, FL 349474613 (Tel: 7722336446)

👤
Provider Name / Credentials Updated February 22, 2025

Recorded as SHANNON PRINCE, BCBA

📍
Updated Practice Location July 27, 2023

Registered at 4203 SW HIGH MEADOWS AVE, PALM CITY, FL 349903726 (Tel: 7722225560)

📍
Updated Business Mailing Address July 27, 2023

Registered at 4203 SW HIGH MEADOWS AVE, PALM CITY, FL 349903726 (Tel: 7724630444)

👤
Provider Name / Credentials Updated July 27, 2023

Recorded as SHANNON CHATMAN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2023

Behavior Analyst (License #1-23-67173 in FL)

NPI Profile Active December 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2017

Registered at 10850 S US HIGHWAY 1 STE 2, PORT ST LUCIE, FL 349526407 (Tel: 7724630444)

📍
Updated Business Mailing Address December 09, 2017

Registered at 10850 S US HIGHWAY 1 STE 2, PORT ST LUCIE, FL 349526407 (Tel: 7724630444)

👤
Provider Name / Credentials Updated December 09, 2017

Recorded as SHANNON CHATMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2017

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 09, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497260665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2017
Last Update: May 12, 2025
Sole Proprietor: Yes

Mailing Address

2800 Okeechobee Rd

Fort Pierce, FL 349474613

Phone: 7722336446

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.