Individual provider Active NPI

Shannon Schebell, M.A.T., BCBA

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1235681529
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23761 Issued in GA
Practice address
318 6TH St NE
Apt 2
Atlanta, GA 30308-1699
Phone
(561) 351-5082
NPI assigned
Nov 2, 2016
Last updated
Nov 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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 1-16-23761 GA Primary

Addresses

Primary practice location

318 6TH St NE
Apt 2
Atlanta, GA 30308-1699

Mailing address

318 6TH St NE
Apt 2
Atlanta, GA 30308-1699
Phone (561) 351-5082

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": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1235681529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 6TH ST NE",
            "address_2": "APT 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081699",
            "telephone_number": "561-351-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 6TH ST NE",
            "address_2": "APT 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081699",
            "telephone_number": "561-351-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEBELL",
        "first_name": "SHANNON",
        "credential": "M.A.T., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-16-23761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.