Individual provider Active NPI

Nicholas A Shrewsbury, BCBA

  • Behavior Analyst
  • Suwanee, GA
National Provider Identifier
1366189391
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5050 Research CT Ste 125
Suwanee, GA 30024-5573
Phone
(470) 622-9475
NPI assigned
May 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 Primary

Addresses

Primary practice location

5050 Research CT Ste 125
Suwanee, GA 30024-5573

Mailing address

500 Buford Hwy Apt 3314
Suwanee, GA 30024-7806
Phone (470) 622-9475

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

OrganizationSpecialtyStatusNew patients
Apollo Behavior Services LLC Behavior Analyst CurrentSince May 22, 2022 Accepting new patients

Locations

1000 Mansell Exchange W
Ste 360
Alpharetta, GA 30022

3005 Breckinridge Blvd
Ste 230
Duluth, GA 30096
Phone (404) 224-9346

1550 N Brown Rd
Ste 100
Lawrenceville, GA 30043
Phone (404) 224-9346

5050 Research Ct
Ste 125
Suwanee, GA 30024
Phone (404) 202-8142

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1366189391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BUFORD HWY APT 3314",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247806",
            "telephone_number": "470-622-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 RESEARCH CT STE 125",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245573",
            "telephone_number": "470-622-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREWSBURY",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.