Sharon Dugas Boudreaux, BCBA
Individual provider Active NPI Behavior Analyst · Tupelo, MS
NPI 1508103102 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1508103102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-12-12034 (MS)
- Practice address
- 424 E President Ave
Tupelo, MS 38801-5500 - Phone
- (662) 205-4375
- Fax
- (662) 584-2990
- NPI assigned
- Jan 16, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Care of North Mississippi, Inc | Current | Accepting new patients | |
| Center for Behavior Analytic Services, LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-12034 | MS | Yes |
Addresses
Primary practice location
424 E President Ave
Tupelo, MS 38801-5500
Mailing address
924 Lake Dr
Fulton, MS 38843-8936
Phone (706) 254-1688
Other providers in Tupelo, MS
- Dennis Davis Bond Sr.
- Bethany Bonner
- Carla Booker
- Katelyn C Boren
- Samantha Grace Boren
- Charles Edward Bouldin
- Keisha Bounds
- Makenna Bourland
- Kevin Boutin
- Ronondo Jerome Bowen
All providers in Tupelo, MS · Behavior Analyst in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.