Sharady R Richardson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53760 Issued in AR

Practice address

419 N Hampton Ave
Russellville, AR 72802-8328

Phone

(501) 697-1768

NPI assigned

Feb 19, 2019

Last updated

Nov 3, 2021By 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

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.

• Sunshine ABA Therapy PLLC

  • Behavior Analyst
  • Greenbrier, AR
  • NPI 1639835705
  NPD Authorized official

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1104382712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ONYX DR",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589148",
            "telephone_number": "501-697-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N HAMPTON AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728028328",
            "telephone_number": "501-697-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SHARADY",
        "middle_name": "R",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AR",
            "license": "1-21-53760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Patrick Rice, APRN
• Richard L Morgan DDS PA
• Samantha Kaye Richard, APRN-CNP
• Toby Aaron Richard
• Kristin Richardson
• Thomas Bryant Richardson, DDS
• Cesiley Rideau, ATC
• Grace Rideout, CIT
• Tessa Riffell, LCSW
• Samantha Riggs

• Behavior Analyst in Russellville, AR
• Providers in Russellville, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.