Individual provider Active NPI

Mahri Westphal Palmer Shelton, M.ED. BCBA

  • Behavior Analyst
  • Hinesville, GA
National Provider Identifier
1205260940
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-24669 Issued in NU
Practice address
306 N Main St Ste 1a
Hinesville, GA 31313-2562
Phone
(912) 320-4378
Fax
(866) 467-4321
NPI assigned
Aug 29, 2013
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-24669 NU Primary

Addresses

Primary practice location

306 N Main St Ste 1a
Hinesville, GA 31313-2562

Mailing address

124 W ML King Jr Dr
Hinesville, GA 31313-3226
Phone (912) 320-4378

Other practice location 1

331 E Main St Ste 200
Rock Hill, SC 29730-5384
Phone (855) 832-6721

Other practice location 2

4301 N Federal Hwy
Suite 2 South
Pompano Beach, FL 33064-6519
Phone (888) 880-9270

Other practice location 3

421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Phone (888) 880-9270

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum of Hope Behavior Analyst CurrentSince Sep 1, 2023 Accepting new patients

Locations

124 W Ml King Jr Dr
Hinesville, GA 31313
Phone (912) 320-4378

306 N Main St
Ste 1A
Hinesville, GA 31313
Phone (912) 294-4055

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1205260940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W ML KING JR DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133226",
            "telephone_number": "912-320-4378",
            "fax_number": "866-467-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST STE 1A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132562",
            "telephone_number": "912-320-4378",
            "fax_number": "866-467-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 E Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297305384",
            "country_code": "US",
            "telephone_number": "855-832-6721",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 N Federal Hwy",
            "address_2": "Suite 2 South",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330646519",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Fayetteville St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276013000",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MAHRI",
        "middle_name": "WESTPHAL PALMER",
        "credential": "M.ED. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-16-24669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.