SHANNON MICHELLE PENA – Behavior Analyst, NPI 1255677290

SHANNON MICHELLE PENA is a healthcare provider. based in Palm bay, Florida. specializing in Behavior Analyst. They hold a License No. SW21618 (FL). The NPI Number for SHANNON MICHELLE PENA is 1255677290

Main info

Female
Sole Proprietor
Name
SHANNON MICHELLE PENA
NPI
1255677290
Phone
(321) 334-7417
Address
910 BEACON ST NW
Enumeration Date
19 December 2012
Last Update Date
29 June 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for SHANNON MICHELLE PENA

  • 910 BEACON ST NW

    PALM BAY, FL 329077835

    Phone: (321) 334-7417

    Type: Mailing

  • 12333 NW 18TH ST STE 5

    PEMBROKE PINES, FL 330264386

    Phone: (954) 780-6093

    Type: Location

  • PO BOX 668650

    MIAMI, FL 331669420

    Phone:

    Type: Mailing

  • 11755 SW 90TH ST

    SUITE 201

    MIAMI, FL 331862177

    Phone: (305) 846-9807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32907)

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Reviews

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Frequently asked questions

What number should I use to identify SHANNON MICHELLE PENA for billing?
Administrative and clinical systems typically use NPI 1255677290 for SHANNON MICHELLE PENA.
Should I treat SHANNON MICHELLE PENA as an active provider?
Patients and plans typically see SHANNON MICHELLE PENA as active in the national extract.
Which specialty label fits SHANNON MICHELLE PENA?
NPPES ties SHANNON MICHELLE PENA to Behavior Analyst in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHANNON MICHELLE PENA?
SHANNON MICHELLE PENA is associated with Palm Bay, Florida in the same public data insurers reference.
Who maintains SHANNON MICHELLE PENA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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