Shelby Pace, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8066 Walnut Run Rd Ste 102
Cordova, TN 38018-8842

Phone

(901) 410-3595

NPI assigned

Feb 1, 2022

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

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.

• Cultivate Tennessee, LLC

  • Behavior Analyst
  • Cordova, TN
  • NPI 1245764927
  NPD (past)

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1174276992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 E RIVER TRACE DR APT 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381345716",
            "telephone_number": "629-772-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8066 WALNUT RUN RD STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188842",
            "telephone_number": "901-410-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "SHELBY",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Otieno
• Pauline Denise Owens-Baker, C.O.T.A.
• Amy Owens, FNP
• Lanora Owens
• Marilyn R Paauola, LCSW
• Terry Harris Pachl, MS, RDN, LDN
• Mamerto Bragado Pacris Jr., PHYSICAL THERAPIST
• Samantha Padawer, LCSW
• Pain Management Centers of America, PSC
• Palmer Medical Services, LLC

• Behavior Technician in Cordova, TN
• Providers in Cordova, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.