Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE NICHOLS, BCBA
ActiveSHANE NICHOLS, BCBA is a Behavior Analyst healthcare provider located in DALTON, Georgia. NPI 1649880493 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · DALTON, GA
Registration Details
- NPI Number
- 1649880493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2020 (5.9852027580395 yrs)
- Last Updated
- Jan 11, 2023
- Licenses
-
1-20-42979 (TN)1-20-42979 (WY)1-20-42979 (GA)
Practice Information
- Address
-
1401 APPLEWOOD DR STE 2DALTON, GA, 307202699Browse GA providers · Browse ZIP 30720
- Phone
- 7062509372
- Fax
- 7063439939
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in DALTON, GA
| Name | Credential | NPI |
|---|---|---|
| KELSEY CAMERON | M.S., BCBA | 1386015089 |
| BELINDA WHEELER | — | 1609231117 |
| ELIZABETH NICOLE GREGORY | M.ED., BCBA | 1720620727 |
| HANNAH MICHELLE BURRIS | BCBA | 1477193225 |
| ESTEFANY ESPITIA | MA, BCBA | 1275156762 |
| NATASHA NICOLE CARR | — | 1730053174 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.