Provider Demographics
NPI:1407732738
Name:DOWNS, SHANNON RENEE
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:RENEE
Last Name:DOWNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 BRIDLE PATH APT 1106
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-2386
Mailing Address - Country:US
Mailing Address - Phone:561-374-2386
Mailing Address - Fax:
Practice Address - Street 1:555 BRIDLE PATH APT 1106
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-2386
Practice Address - Country:US
Practice Address - Phone:561-374-2386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician