Holly Riley Shealy, BCBA
Individual provider Active NPI Behavior Analyst · Saluda, SC
NPI 1265058424 · NPPES record last updated Jun 23, 2020
Key facts
- NPI
- 1265058424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-19-35038
- Practice address
- 404 N Wise Rd
Saluda, SC 29138-1024 - Phone
- (864) 445-8441
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saluda County Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-35038 | Yes |
Addresses
Primary practice location
404 N Wise Rd
Saluda, SC 29138-1024
Mailing address
396 Bethany Schoolhouse Rd
Saluda, SC 29138-7811
Phone (864) 993-5311
Other providers in Saluda, SC
- Self Medical Group
- Self Medical Group
- Self Medical Group
- Self Regional Healthcare
- Self Regional Healthcare
- Julie Porth Smith
- South Carolina CVS Pharmacy LLC
- South Carolina Heart Center PA
- State of South Carlina
- David I Stevens
All providers in Saluda, SC · Behavior Analyst in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.