Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649880493 Individual Practitioner Male Practitioner

Shane Nichols , BCBA

Behavior Analyst • Dalton, GA

Professional Overview & Biography Verified Profile Summary

Shane Nichols, BCBA is a registered healthcare professional specializing in Behavior Analyst in Dalton, GA. Practice services are available at 1401 APPLEWOOD DR STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1401 Applewood Dr Ste 2

Dalton, GA 307202699

Telephone 7062509372
Fax 7063439939
Associated Practice Facility / Clinic
🏢 Kiwiaba Llc Facility NPI 1073271193

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Dalton, GA

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

Practicing in Dalton, 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

CMS Verified: 2023-01-11
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License GA 1-20-42979

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License TN 1-20-42979

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License WY 1-20-42979

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Jessica Tamayo Barrios

Behavior Technician

NPI 1033923859

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 13, 2022

Registered at 1401 APPLEWOOD DR STE 2, DALTON, GA 307202699 (Tel: 7062509372)

📍
Updated Business Mailing Address December 13, 2022

Registered at 1401 APPLEWOOD DR STE 2, DALTON, GA 307202699 (Tel: 7062509372)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2022

Behavior Analyst (License #1-20-42979 in TN)

📍
Updated Practice Location February 09, 2021

Registered at 1704 WESTLAND RD, CHEYENNE, WY 820013322 (Tel: 3072222400)

NPI Profile Active August 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2020

Registered at 945 PENDELL BLVD., MILLS, WY 826448264 (Tel: 3072151032)

📍
Updated Business Mailing Address August 06, 2020

Registered at 2804 E 26TH ST STE 1, SIOUX FALLS, SD 571034019 (Tel: 6052712690)

👤
Provider Name / Credentials Updated August 06, 2020

Recorded as SHANE NICHOLS, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2020

Behavior Analyst (License #1-20-42979 in WY)

🟢
Initial NPI Registration & Enumeration August 06, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649880493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2020
Last Update: January 11, 2023
Sole Proprietor: No

Mailing Address

1401 Applewood Dr Ste 2

Dalton, GA 307202699

Phone: 7062509372

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.