Active NPI
Shanyla Blakeney, BCBA
- Behavior Analyst
- Smyrna, GA
National Provider Identifier
1144995689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1155 Concord Rd SE Ste 220
Smyrna, GA 30080-4255 - Phone
- (470) 666-2550
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1155 Concord Rd SE Ste 220
Smyrna, GA 30080-4255
Mailing address
10716 Glenluce Ave
Charlotte, NC 28213-4239
Other practice location 1
7504 E Independence Blvd Ste 103
Charlotte, NC 28227-9407
Phone (888) 392-8642
Other practice location 2
145 Pitts School Rd SW
Concord, NC 28027-3916
Phone (704) 800-5770
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Behavior Centers Therapy LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Austin, TX
- NPI 1699475509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1144995689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10716 GLENLUCE AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282134239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 CONCORD RD SE STE 220",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804255",
"telephone_number": "470-666-2550"
}
],
"practiceLocations": [
{
"address_1": "7504 E Independence Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282279407",
"country_code": "US",
"telephone_number": "888-392-8642",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 Pitts School Rd SW",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280273916",
"country_code": "US",
"telephone_number": "704-800-5770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAKENEY",
"first_name": "SHANYLA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
- Allan Starr Billehus, LPC
- Tiffini Nicole Billingsly Perry, M.D.
- Birth by Grace Midwifery Services, LLC
- Bizmed MRI, LLC
- Blackland Home Care, LLC
- Cheryl Elizabeth Blaxton, MS, LAT, ATC
- Jennifer Chrisden Bledsoe, DC
- Blissful Healthcare
- Karen Joanne Boden, D.C.
- Melissa Nicole Harrison Boekhaus, M.D. FAAP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.