Shania Waverly
Individual provider Active NPI Assistant Behavior Analyst · Garner, NC
NPI 1952008252 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1952008252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- License
- A1766 (NC)
- Practice address
- 310 Bratton Dr Ste a
Garner, NC 27529-7827 - Phone
- (919) 307-3550
- NPI assigned
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1766 | NC | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bridge Consulting Group, LLC | Assistant Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | A1766 | NC | Yes |
Addresses
Primary practice location
310 Bratton Dr Ste a
Garner, NC 27529-7827
Mailing address
310 Bratton Dr Ste a
Garner, NC 27529-7827
Other providers in Garner, NC
- Cynthia McCaskill Walker
- Adam Wall III
- Chasity Antoinette Walters
- Marlo Watson
- Steve Addison Watson
- Shelby Rae Wears
- Lamont Weathers
- April Yvonne Welch
- Joslynn Jean Weldon
- Kendall Wesson
All providers in Garner, NC · Assistant Behavior Analyst in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 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.