Shayne Malone

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-18-59119

Practice address

2444 Commerce Rd Ste 215
Jacksonville, NC 28546-7560

Phone

(615) 294-1221

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1013403880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11406 LYNDENWOOD CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238385263",
            "telephone_number": "615-294-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 COMMERCE RD STE 215",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467560",
            "telephone_number": "615-294-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "SHAYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "RBT-18-59119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malachi Behavioral Heathcare,Inc
• Malachi Home Care,Inc
• Ashley Laura Malara, MD
• Josephine Marie Malfitano, DNP, FNP-C
• Elaine Ann Mallette, BS
• Holly J Maloney, NP
• Christina Yvonne Malu, LCSW, LCAS-A
• Pamela Malu
• Kevin John Mancini, DMD
• Vivian Manduca-Marquez, A.P., D.O.M.

• Behavior Analyst in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.