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Shannon Wade
NPI 1003787904 · Behavior Technician · Fairfield, CA
Shannon Wade is a Behavior Technician provider in Fairfield, CA (NPI 1003787904).
Provider details
- NPI number
- 1003787904
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2450 Martin Rd Ste 100
Fairfield, CA 94534-1018
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Registry dates
- Enumerated
- 2025-09-15
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Frequently asked questions
- What is Shannon Wade's NPI number?
- Shannon Wade's National Provider Identifier (NPI) is 1003787904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Wade's specialty?
- Shannon Wade is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Shannon Wade located?
- Shannon Wade's practice location on file with NPPES is 2450 Martin Rd Ste 100, Fairfield, CA 94534-1018.
- What is Shannon Wade's phone number?
- The practice phone number listed in the NPPES registry for Shannon Wade is (855) 223-7123.
- Is Shannon Wade's NPI active?
- Yes — Shannon Wade's NPI (1003787904) is active in the NPPES registry as of the last update on 2025-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.