MICAH SHANNON
NPI 1376340711
Behavior Technician in Fort Wayne, IN

NPI Status: Active since February 25, 2025

Contact Information

2270 LAKE AVE
FORT WAYNE, IN
ZIP 46805
Phone: (260) 444-5649

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  • Individual
  • Female
  • Behavior Technician

About MICAH SHANNON

This page provides the complete NPI Profile along with additional information for Micah Shannon, a provider established in Fort Wayne, Indiana with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1376340711 assigned on February 2025. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated February 2025.

NPI
1376340711
Provider Name
MICAH SHANNON
Gender
Female
Entity Type
Individual
Location Address
2270 LAKE AVE FORT WAYNE, IN 46805
Location Phone
(260) 444-5649
Mailing Address
2270 LAKE AVE FORT WAYNE, IN 46805
Mailing Phone
(260) 444-5649
Is Sole Proprietor?
No
Enumeration Date
02-25-2025
Last Update Date
02-25-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376340711
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314664072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 6 + 4 + 0 + 7 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1376340711 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407179559FORENSIC NURSING SPECIALTIES, INC
Organization
Clinic/Center (Multi-Specialty)2270 LAKE AVE SUITE 201
FORT WAYNE, IN 46805
(260) 432-2222
1821334624 ASHLEE KEUNEKE BCBA
Individual
Behavior Analyst2270 LAKE AVE SUITE 101
FORT WAYNE, IN 46805
(888) 667-1181
1629411293 HEATHER MARIE STAUFFER BCBA
Individual
Behavior Analyst2270 LAKE AVE SUITE 101
FORT WAYNE, IN 46805
(888) 667-1181
1285007070 SARA N. HAMMOND BCBA
Individual
Behavior Analyst2270 LAKE AVE SUITE 101
FORT WAYNE, IN 46805
(888) 667-1181
1083189682 MEGAN KESSLER
Individual
Behavior Analyst2270 LAKE AVE
FORT WAYNE, IN 46805
(888) 667-1181
1932729175MRS. LAUREN LULEY MA, BCBA
Individual
Behavior Analyst2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1629749098 KAYLA BARY MA, BCBA
Individual
Behavior Analyst2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1437994456 CAROL LYNDSEY OSBORN BCABA
Individual
Assistant Behavior Analyst2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1457121295MRS. AALIYAH NICOLE DYER BCBA
Individual
Behavior Analyst2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1447061973 HANNAH SCHUMM
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1427862556 BRITTANY EASTOM
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1588478838 ADRIENNE GINGERICH
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1265237416 GEORGIA ROSE GIVENS
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1457156689 SAMANTHA DYE
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-4659
1497550636 JACOB SAMUEL GOTTLIEB
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1497550644 RAYANA MICHALAK
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1740095256 ANDREW REUM II
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1780150094 KELSEY SUE SAYLOR RBT-16-26048
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1013713379 KAYLEE GRAY
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649
1447056361 BRIAN JAMES HENSEL
Individual
Behavior Technician2270 LAKE AVE
FORT WAYNE, IN 46805
(260) 444-5649

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376340711, enumerated in the NPI registry as an "individual" on February 25, 2025

The provider is located at 2270 Lake Ave Fort Wayne, In 46805 and the phone number is (260) 444-5649

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

This NPI record was last updated on February 25, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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