Active NPIIndividual providerSole proprietor

Shannon Nolen E Shannon Nolen, BCBA

Behavior Analyst in Brooklyn, Connecticut

NPI Number1619847779
Practice location
34 Brenn Dr, Brooklyn, CT 06234-2009
Fax
240-360-2637
Last updated
November 5, 2025

Shannon Nolen Elizabeth Shannon Nolen is a Behavior Analyst based in Brooklyn, CT. Shannon Nolen Elizabeth Shannon Nolen practices in Brooklyn, CT and has the professional credentials of BCBA. The NPI Number for Shannon Nolen Elizabeth Shannon Nolen is 1619847779 and holds a License No. BACB687232 (MA). The current practice location address for Shannon Nolen Elizabeth Shannon Nolen is 34 Brenn Dr, Brooklyn, CT 06234-2009 and can be reached out via phone at 212-481-4040 and via fax at 240-360-2637.

Provider Profile Details

NPI Number
1619847779
Provider Name
Shannon Nolen Elizabeth Shannon Nolen
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
34 Brenn Dr, Brooklyn, CT 06234-2009
Phone Number
212-481-4040
Fax Number
240-360-2637
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 5, 2025
Last Update Date
November 5, 2025
Certification Date
November 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Brenn Dr
Brooklyn, CT 06234-2009
Zip
06234-2009
Phone Number
212-481-4040
Fax Number
240-360-2637
Brooklyn, CT 06234Get directions →

Provider Business Mailing Address Details

Address
34 Brenn Dr
Brooklyn, CT 06234-2009
City
Brooklyn
State
CT
Zip
06234-2009
Phone Number
212-481-4040
Fax Number
240-360-2637

License Information

License Number
BACB687232
License State
MA
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon Nolen E Shannon Nolen, BCBA?

The NPI number of Shannon Nolen E Shannon Nolen, BCBA is 1619847779. It was assigned on November 5, 2025 and is currently active in the NPPES registry.

What is the specialty of Shannon Nolen E Shannon Nolen, BCBA?

Shannon Nolen E Shannon Nolen, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number BACB687232.

Where does Shannon Nolen E Shannon Nolen, BCBA practice?

The practice location is 34 Brenn Dr, Brooklyn, CT 06234-2009. The office can be reached at 212-481-4040 (phone) or 240-360-2637 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619847779 directly on the NPPES registry website.

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