Active NPI
Shannon Dobson, BCBA
- Behavior Analyst
- Winston Salem, NC
National Provider Identifier
1235977752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12471805
- Practice address
- 1405 S Broad St
Winston Salem, NC 27127-2068 - Phone
- (855) 772-8847
- NPI assigned
- Jul 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12471805 | NC | Primary |
Addresses
Primary practice location
1405 S Broad St
Winston Salem, NC 27127-2068
Mailing address
1405 S Broad St
Winston Salem, NC 27127-2068
Phone (855) 772-8847
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12471805 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1235977752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 S BROAD ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271272068",
"telephone_number": "855-772-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S BROAD ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271272068",
"telephone_number": "855-772-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBSON",
"first_name": "SHANNON",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "12471805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.