IndividualActive
Shannon Holman
NPI 1952107682 · Behavior Technician · Elkhart, IN
Shannon Holman is a Behavior Technician provider in Elkhart, IN (NPI 1952107682).
Provider details
- NPI number
- 1952107682
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-21-179195
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
415 Waterfall Dr
Elkhart, IN 46516-3660
Phone: (574) 387-4313
Street-level locationGet directions
Mailing address
215 Red Coach Dr
Mishawaka, IN 46545-8307
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-02-24
- Certified
- 2025-02-23
Frequently asked questions
- What is Shannon Holman's NPI number?
- Shannon Holman's National Provider Identifier (NPI) is 1952107682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Holman's specialty?
- Shannon Holman is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Shannon Holman located?
- Shannon Holman's practice location on file with NPPES is 415 Waterfall Dr, Elkhart, IN 46516-3660.
- What is Shannon Holman's phone number?
- The practice phone number listed in the NPPES registry for Shannon Holman is (574) 387-4313.
- Is Shannon Holman's NPI active?
- Yes — Shannon Holman's NPI (1952107682) is active in the NPPES registry as of the last update on 2025-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.