Shontressa Denise Ginwright Randle

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7821

Practice address

204 W Tuscaloosa St
Florence, AL 35630-5428

Phone

(256) 202-4885

Fax

(833) 442-3336

NPI assigned

Nov 25, 2024

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

Practice roles

Locations

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.

• Singing River Behavior Associates, LLC

  • Behavior Analyst
  • Florence, AL
  • NPI 1538856109
  NPD

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1164248167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N ROYAL AVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356303559",
            "telephone_number": "404-641-1154",
            "fax_number": "404-641-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W TUSCALOOSA ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305428",
            "telephone_number": "256-202-4885",
            "fax_number": "833-442-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINWRIGHT RANDLE",
        "first_name": "SHONTRESSA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-10-7821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Florence, AL
• Providers in Florence, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.