Shayna Fasanella, PA-C
Verification result: Current license matched
Florida Physician Assistant License: Clear
AESTHETIC INJECTOR
- License #9112616
- Expires January 31, 2028
- NPI: 1407349384
- Primary taxonomy: Physician Assistant, Surgical
- Verified September 28, 2026
View verification evidence
Clinic-reported
- Clinic-stated role
- AESTHETIC INJECTOR
- Credential
- PA-C
- Named as medical director
- Not stated
- Named as an injector
- Yes
- Clinic source
- basisaesthetics.com
- Date checked
- September 30, 2026
SHAYNA FASANELLA, PA-C
Federal provider record
- NPI
- 1407349384
- Primary taxonomy
- Physician Assistant, Surgical
- Source
- NPPES NPI Registry
- Date checked
- September 28, 2026
State professional license
- Credential
- PA-C
- State license
- Physician Assistant, Florida Department of Health, Division of Medical Quality Assurance
- License number
- 9112616
- Status
- Clear
- Expires
- 01/31/2028
- Checked
- September 28, 2026
Board action recorded: None found in the file we read.
Physician Assistant license 9112616; Shayna M Fasanella; status: Clear; expires 01/31/2028; board action: N; practice city PALM BEACH GARDENS
State data published August 25, 2026.
Verification finding
- Result
- Current license matched (Clear)
Basis Aesthetics names Shayna Fasanella, PA-C, with the stated role AESTHETIC INJECTOR. Verified Injector matched this clinician to license 9112616 at the Florida Department of Health, Division of Medical Quality Assurance, which that board recorded as Clear when checked September 28, 2026.