Individual provider Active NPI

Harley Shuck

  • Assistant Behavior Analyst
  • Waynetown, IN
National Provider Identifier
1144034364
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
108 W Washington St
Waynetown, IN 47990-8022
Phone
(765) 326-1501
NPI assigned
Feb 6, 2025
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X IN Primary

Addresses

Primary practice location

108 W Washington St
Waynetown, IN 47990-8022

Mailing address

PO Box 162
Waynetown, IN 47990-0162

Other practice location 1

1002 E Main St
Attica, IN 47918-1934
Phone (765) 326-1501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1144034364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "WAYNETOWN",
            "state": "IN",
            "postal_code": "479900162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W WASHINGTON ST",
            "city": "WAYNETOWN",
            "state": "IN",
            "postal_code": "479908022",
            "telephone_number": "765-326-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 E Main St",
            "address_purpose": "LOCATION",
            "city": "Attica",
            "state": "IN",
            "postal_code": "479181934",
            "country_code": "US",
            "telephone_number": "765-326-1501",
            "fax_number": "765-217-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUCK",
        "first_name": "HARLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynetown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.