DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHANNON FITZGERALD

MEDICARE: SHANNON FITZGERALD
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1316583826
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON FITZGERALD
Provider Business Mailing Address
First Line : 7615 GOLDEN TRIANGLE DR STE A
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3733
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7615 GOLDEN TRIANGLE DR STE A
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3733
Country : US
Telephone Number : 612-767-7222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2019
Last Update Date : 08/04/2022

Similar Medicare Providers

1073470969 — KIFAH ABDILKADIR MURSAL
Practice Location Address:
7615 GOLDEN TRIANGLE DR STE A
EDEN PRAIRIE, MN
55344-3733
Practice Phone: 952-767-5900
Practice Fax:
1700293008 — MS. CHELSEA DEVOIR M.ED, BCBA
Practice Location Address:
7615 GOLDEN TRIANGLE DR STE A
EDEN PRAIRIE, MN
55344-3733
Practice Phone: 952-767-2974
Practice Fax:
1366959884 — LAURA CASTELLUCCI
Practice Location Address:
7615 GOLDEN TRIANGLE DR STE A
EDEN PRAIRIE, MN
55344-3733
Practice Phone: 952-767-5900
Practice Fax:
1669979258 — SOPHIA LUCAS
Practice Location Address:
7615 GOLDEN TRIANGLE DR STE A
EDEN PRAIRIE, MN
55344-3733
Practice Phone: 612-767-7222
Practice Fax:
1194383661 — LYNN MARIE QUAM OTR/L
Practice Location Address:
7615 GOLDEN TRIANGLE DR STE A
EDEN PRAIRIE, MN
55344-3733
Practice Phone: 952-767-5914
Practice Fax:
1942819198 — HAYYAT MUHAMOUD ADAM
Practice Location Address:
7615 GOLDEN TRIANGLE DR STE A
EDEN PRAIRIE, MN
55344-3733
Practice Phone: 952-767-5900
Practice Fax:

Directions to “ SHANNON FITZGERALD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.