Active NPI
Holly Riley Shealy, BCBA
- Behavior Analyst
- Saluda, SC
National Provider Identifier
1265058424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-35038
- Practice address
- 404 N Wise Rd
Saluda, SC 29138-1024 - Phone
- (864) 445-8441
- NPI assigned
- Jun 23, 2020
- Last updated
- Jun 23, 2020
- 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 | 1-19-35038 | Primary |
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
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saluda County Schools | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Saluda, SC
- NPI 1063463685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1265058424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 BETHANY SCHOOLHOUSE RD",
"city": "SALUDA",
"state": "SC",
"postal_code": "291387811",
"telephone_number": "864-993-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N WISE RD",
"city": "SALUDA",
"state": "SC",
"postal_code": "291381024",
"telephone_number": "864-445-8441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEALY",
"first_name": "HOLLY",
"middle_name": "RILEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-35038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saluda, SC
- Self Medical Group
- Self Medical Group
- Self Medical Group
- Self Regional Healthcare (Self Medical Center Saluda)
- Self Regional Healthcare (Self Medical Center Saluda)
- Julie Porth Smith, MCD, CCC-SLP, ATP
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #03869)
- South Carolina Heart Center PA
- State of South Carlina (SC Dhec)
- David I Stevens, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.