Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710475751 Individual Practitioner Female Practitioner

Shannon Evelyn Blanks , MSED, BCBA

Behavior Analyst • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Shannon Blanks, MSED, BCBA is a registered healthcare professional specializing in Behavior Analyst in Augusta, GA. Practice services are available at 1237 AUGUSTA WEST PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1237 Augusta West Pkwy

Augusta, GA 309091807

Telephone 7626854340
Associated Practice Facility / Clinic
🏢 Florida Autism Center Facility NPI 1225593205

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
47 Specialists

Practicing in Augusta, GA (2715 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-18-30037

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Practice Locations

4216 Washington Rd Ste 2

Evans, GA 30809

Phone: 7622227629

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jocelyn Vargas , RBT

Behavior Technician

NPI 1023807997

Registered Behavior Technician

Aldin Imamovic

Behavior Technician

NPI 1023967791
Nicole Hurst

Behavior Technician

NPI 1063080224
Stacy Lee , RBT

Behavior Technician

NPI 1073169447

Registered Behavior Technician

Taylor Davis , RBT

Behavior Technician

NPI 1073357133

Registered Behavior Technician

Latifah Mays

Behavior Technician

NPI 1104785500

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location September 30, 2019

Registered at 1237 AUGUSTA WEST PKWY, AUGUSTA, GA 309091807 (Tel: 7626854340)

📍
Updated Business Mailing Address September 30, 2019

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 4079157258)

👤
Provider Name / Credentials Updated September 30, 2019

Recorded as SHANNON BLANKS, M.S.ED., BCBA

📍
Updated Business Mailing Address August 02, 2018

Registered at 1321 MURFRESBORO PIKE STE 702, NASHVILLE, TN 372172679 (Tel: 8039054427)

📍
Updated Practice Location June 21, 2018

Registered at 4216 WASHINGTON RD STE 2, EVANS, GA 30809 (Tel: 7622227629)

📍
Updated Business Mailing Address June 21, 2018

Registered at 2580 LIN DO CT, SUMTER, SC 291501832 (Tel: 8039054427)

NPI Profile Active April 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2018

Registered at 3736 EXECUTIVE CENTER DR, AUGUSTA, GA 309072360 (Tel: 7068425330)

📍
Updated Business Mailing Address April 25, 2018

Registered at 3736 EXECUTIVE CENTER DR, AUGUSTA, GA 309072360 (Tel: 7068425330)

👤
Provider Name / Credentials Updated April 25, 2018

Recorded as SHANNON BLANKS, MS, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2018

Behavior Analyst (License #1-18-30037 in None)

🟢
Initial NPI Registration & Enumeration April 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710475751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2018
Last Update: September 30, 2019
Sole Proprietor: No

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 4079157258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.