Individual provider Active NPI

Shelby May Nunn, BCBA, LBA

  • Behavior Analyst
  • Minneapolis, MN
National Provider Identifier
1356935944
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3875 Issued in TX
Practice address
225 S. 6TH St.
Minneapolis, MN 55402
Phone
(210) 319-9807
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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 3875 TX Primary

Addresses

Primary practice location

225 S. 6TH St.
Minneapolis, MN 55402

Mailing address

1985 Stacey Rd
Poteet, TX 78065-4683
Phone (210) 304-9757

Other identifiers 2

IdentifierTypeStateIssuer
1-21-46944OtherBACB- BCBA
3875OtherTXLBA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shelbynunn@vabastx.com Direct Vibrant ABA Solutions

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

LicenseStateTypeSpecialty
3875TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby May Behavior Consulting LLC Behavior Analyst CurrentSince Aug 7, 2022 Accepting new patients

Locations

21750 Hardy Oak Blvd
Ste 104
San Antonio, TX 78258
Phone (210) 201-6334

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1356935944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 STACEY RD",
            "city": "POTEET",
            "state": "TX",
            "postal_code": "780654683",
            "telephone_number": "210-304-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S. 6TH ST.",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55402",
            "telephone_number": "210-319-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNN",
        "first_name": "SHELBY",
        "middle_name": "MAY",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB- BCBA",
            "identifier": "1-21-46944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LBA",
            "identifier": "3875",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelbynunn@vabastx.com",
            "affiliation": "Y",
            "endpointDescription": "encrypted email address",
            "affiliationName": "Vibrant ABA Solutions",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11844 Bandera Rd # 201",
            "city": "Helotes",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780234132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.