Meredith Margaret Shockley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1720 10TH Ave. S
Suite 4-150
Great Falls, MONTANA 59405
UM

Phone

(480) 361-1025

Fax

(480) 814-7488

NPI assigned

May 24, 2022

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Big Sky Therapeutic Services, PLLC

  dba Big Sky Therapy

  • Community/Behavioral Health Agency
  • Great Falls, MT
  • NPI 1588966584

  Behavior Technician

  NPD (past)
• Positive ABA

  • Behavior Analyst
  • Queen Creek, AZ
  • NPI 1891175543
  NPD (past)
• Positiveaba

  • Behavior Analyst
  • Queen Creek, AZ
  • NPI 1003064171
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1003554528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425870",
            "telephone_number": "480-361-1025",
            "fax_number": "480-814-7488"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1720 10TH AVE. S",
            "address_2": "SUITE 4-150",
            "city": "GREAT FALLS",
            "state": "MONTANA",
            "postal_code": "59405",
            "telephone_number": "480-361-1025",
            "fax_number": "480-814-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "MEREDITH",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MT",
            "license": "RBT-22-217169",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.