NPIMap

Organization Active NPI

Shawn Bohanan Behavioral Consultation, LLC

Doing business as Launch Therapy Center

  • Community/Behavioral Health Agency
  • Augusta, GA
National Provider Identifier
1295143097
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHAWN BOHANAN BEHAVIORAL CONSULTATION, LLC
Doing business as
Launch Therapy Center
Practice address
1212 Augusta West Pkwy Ste 1B
Augusta, GA 30909-1808
Phone
(706) 826-2770
Fax
(706) 826-2771
NPI assigned
Jul 24, 2014
Last updated
May 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Mr. Shawn Michael Bohanan, M.S., BCBANPI 1205268273
Title
Behavior Analyst/ Owner
Phone
(706) 833-9515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1212 Augusta West Pkwy Ste 1B
Augusta, GA 30909-1808

Mailing address

1212 Augusta West Pkwy Ste 1B
Augusta, GA 30909-1808
Phone (706) 826-2770

Other practice location 1

3218 Stone Creek Dr
Augusta, GA 30907-9280
Phone (706) 833-9515

Other names 1

  • Launch Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

1212 Augusta West Pkwy
Augusta, GA 30909
Phone (706) 826-2770

1212 Augusta West Pkwy
Ste 1B
Augusta, GA 30909
Phone (706) 826-2770

4490 Washington Rd
Ste 14
Evans, GA 30809
Phone (706) 250-0022

1800 S Lawe St
Ste 100
Appleton, WI 54915
Phone (920) 268-1998

Practitioners & affiliated clinicians

Practitioners 116

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1295143097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 AUGUSTA WEST PKWY STE 1B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091808",
            "telephone_number": "706-826-2770",
            "fax_number": "706-826-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 AUGUSTA WEST PKWY STE 1B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091808",
            "telephone_number": "706-826-2770",
            "fax_number": "706-826-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3218 Stone Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309079280",
            "country_code": "US",
            "telephone_number": "706-833-9515",
            "fax_number": "803-279-1124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAWN BOHANAN BEHAVIORAL CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2021-05-11",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "BOHANAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/ OWNER",
        "authorized_official_telephone_number": "706-833-9515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Launch Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Launch Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.