MEDICARE: MRS. SHANNA ANTONIA POSEY BCBA, LBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1750702296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHANNA ANTONIA POSEY BCBA, LBA

Provider Business Mailing Address
First Line	:	516 W BONDS RANCH RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-3904
Country	:	US
Telephone Number	:	682-285-4979
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 W BONDS RANCH RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-3904
Country	:	US
Telephone Number	:	682-285-4979
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2013
Last Update Date	:	05/20/2026

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