Shannon Reynolds, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15544 Issued in GA

Practice address

6225 Atlanta Hwy Ste 110
Alpharetta, GA 30004-8799

Phone

(770) 530-7394

NPI assigned

Jul 10, 2022

Last updated

Jul 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1841924594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 DARLINGTON CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401208",
            "telephone_number": "770-842-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 ATLANTA HWY STE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048799",
            "telephone_number": "770-530-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHANNON",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-14-15544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Ismael Reyes, MD
• Nicholas Reyes, DC
• Karina Reyna
• Casey Lee Reynolds-Purcell, APC, NCC
• Kayla Reynolds
• Bryan Rhodes, D.O.
• Cheryl Ainbender Rhodes, MS
• Rhonda G. McMillian, M.D., P.C.
• Fernanda Barata Ribeiro, M.S., CCC-SLP
• Kenneth J Ricci, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.