Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679045256 Individual Practitioner Female Practitioner

Shalysa Annita Childress , MA, BCBA

Behavior Analyst • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Shalysa Childress, MA, BCBA is a registered healthcare professional specializing in Behavior Analyst in Brooklyn, NY. Practice services are available at 1255 E 31ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1255 E 31st St

Brooklyn, NY 112104740

Telephone 8883203222
Associated Practice Facility / Clinic
🏢 Perfect Child Llc Facility NPI 1033698790

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
1100 Specialists

Practicing in Brooklyn, NY (5252 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: 2025-05-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-19-39348

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0046179 (OH)
Commercial Insurance / Payer ID Bcba Certificate
1-19-39348

Secondary Practice Locations

8302 Espresso Dr Ste 100

Bakersfield, CA 933125688

Phone: 4696941754

Practice Associates & Co-Workers

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

12 Associated Practitioners
Henry Ulloa Mejia

Behavior Analyst

NPI 1053956003
NPI 1063936532

Doctor of Philosophy (Ph.D.), Board Certified Behavior Analyst - Doctoral

NPI 1205127370

BCBALBALBS

Hanna Kim , MS, BCBA

Behavior Analyst

NPI 1205266772

Master of Science, Board Certified Behavior Analyst

Iyana Lakin

Behavior Analyst

NPI 1366081739
NPI 1366965824

MAT, Board Certified Behavior Analyst, Licensed Behavior Analyst

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location May 27, 2025

Registered at 1255 E 31ST ST, BROOKLYN, NY 112104740 (Tel: 8883203222)

📍
Updated Business Mailing Address May 27, 2025

Registered at 1255 E 31ST ST, BROOKLYN, NY 112104740

👤
Provider Name / Credentials Updated May 27, 2025

Recorded as SHALYSA CHILDRESS, MA, BCBA

📍
Updated Practice Location January 17, 2020

Registered at 355 QUARTERMASTER CT, JEFFERSONVILLE, IN 471303670 (Tel: 8122589802)

📍
Updated Business Mailing Address January 17, 2020

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated January 17, 2020

Recorded as SHALYSA VAN LIER, MA, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2020

Behavior Analyst (License #1-19-39348 in None)

NPI Profile Active December 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2018

Registered at 200 TOWER CIR, SOMERSET, KY 425033480 (Tel: 6064165139)

📍
Updated Business Mailing Address December 20, 2018

Registered at 200 TOWER CIR, SOMERSET, KY 425033480

👤
Provider Name / Credentials Updated December 20, 2018

Recorded as SHALYSA VAN LIER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679045256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2018
Last Update: May 27, 2025
Sole Proprietor: No

Mailing Address

1255 E 31st St

Brooklyn, NY 112104740

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.