Shelley Leeann Cotton

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-65398 Issued in FL

Practice address

1846 US Highway 90 W Ste B
Defuniak Springs, FL 32433-1408

Phone

(850) 419-4061

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shelley Leeann Webb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Gains Behavioral Solutions LLC

  • Behavior Analyst
  • Defuniak Springs, FL
  • NPI 1780010520
  NPD (past)

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1942740261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 OAKWOOD LAKES BLVD",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324334762",
            "telephone_number": "850-333-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 US HIGHWAY 90 W STE B",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324331408",
            "telephone_number": "850-419-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Bonifay",
            "state": "FL",
            "postal_code": "324252103",
            "country_code": "US",
            "telephone_number": "850-419-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTON",
        "first_name": "SHELLEY",
        "middle_name": "LEEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-65398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "WEBB",
            "middle_name": "LEEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kellyanne Evans Collins
• Rachel Kyleen Collinsworth, RBT
• Donna Pearl Comito, LMT
• Stephanie Cook, BCBA
• Holly Nicole Coots
• Susan Gail Cottrell, DMD
• County of Walton Board of County Commissioners (Walton County Ambulance)
• County of Walton Office of Sheriff (Walton County Fire Rescue)
• Derrick Carl Crampton, PT
• Crestview Hospital Corporation (Gateway Medical Clinic - Defuniak Springs)

• Behavior Analyst in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.