Shelby Anne Arvidson, BCBA

Individual provider Active NPI Behavior Analyst · Woodstock, GA

NPI 1841968138 · NPPES record last updated Sep 1, 2021

Key facts

NPI
1841968138
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-21-52949 (GA)
Practice address
9940 Highway 92
Woodstock, GA 30188-6417
Phone
(470) 473-5920
Fax
(888) 979-8504
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Autism Center LLC. Behavior Analyst Current
since Aug 14, 2022
Accepting new patients

Locations

705 Curtis Pkwy SE
Calhoun, GA 30701
Phone (470) 473-5920

9940 Highway 92
Woodstock, GA 30188
Phone (470) 473-5920

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-52949 GA Yes

Addresses

Primary practice location

9940 Highway 92
Woodstock, GA 30188-6417

Mailing address

9940 Highway 92
Woodstock, GA 30188-6417
Phone (470) 473-5920

Other providers in Woodstock, GA

All providers in Woodstock, GA · Behavior Analyst in Georgia

Sources for this page

Verify at the official NPI Registry.