Active NPI
Shaping Behaviors Therapy
- Behavior Analyst
- Bay St Louis, MS
National Provider Identifier
1669320388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SHAPING BEHAVIORS THERAPY
- Practice address
- 200 Riverview Rd
Bay St Louis, MS 39520-8867 - Phone
- (228) 344-5011
- NPI assigned
- Mar 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Mae Sevillano Dodson, BEHAVIOR ANALYST
- Title
- Bcba/Owner
- Phone
- (228) 344-5011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
200 Riverview Rd
Bay St Louis, MS 39520-8867
Mailing address
200 Riverview Rd
Bay St Louis, MS 39520-8867
Phone (228) 344-5011
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1669320388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RIVERVIEW RD",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395208867",
"telephone_number": "228-344-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RIVERVIEW RD",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395208867",
"telephone_number": "228-344-5011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAPING BEHAVIORS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "DODSON",
"authorized_official_first_name": "JUDY MAE",
"authorized_official_middle_name": "SEVILLANO",
"authorized_official_title_or_position": "BCBA/OWNER",
"authorized_official_telephone_number": "228-344-5011",
"authorized_official_credential": "BEHAVIOR ANALYST"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay St Louis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.