Healthcare Provider Details

I. General information

NPI: 1992120307
Provider Name (Legal Business Name): SHAWNA ADAMS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2014
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 JENKS AVE
PANAMA CITY FL
32401-2439
US

IV. Provider business mailing address

2958 HARRISON AVE UNIT A
PANAMA CITY FL
32405-8034
US

V. Phone/Fax

Practice location:
  • Phone: 850-215-6770
  • Fax: 850-665-0123
Mailing address:
  • Phone: 850-238-7243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: