Shantelle Yvonnette Lewis, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-79416 Issued in GA

Practice address

7108 Washington St SW Ste B
Covington, GA 30014-3417

Phone

(470) 236-2437

NPI assigned

Feb 22, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Yvonnette Lewis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Georgia Rising Star Services

  dba GA Rising Star Services

  • Behavior Analyst
  • Covington, GA
  • NPI 1407652084
  NPD Authorized official

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1417753120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13152 GREYWOLF LN",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300149017",
            "telephone_number": "678-656-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 WASHINGTON ST SW STE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143417",
            "telephone_number": "470-236-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHANTELLE",
        "middle_name": "YVONNETTE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-25-79416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNETTE",
            "last_name": "LEWIS",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caralyn K Leonard, D.M.D.
• Kim R Leverett, APRN, BC
• Elaine Y Lewis
• Latoya Lewis
• Paris Lewis
• Anne Marie Lindsay-Allen, MD
• Abdul Kenyatta Lindsay, MSCFT, RD, LD
• Marcus Duane Linen, LPC
• Linking the Cause
• Lisa D Miller MD Pediatrics PC

• Behavior Analyst in Covington, GA
• Providers in Covington, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.