Active NPI
Leigh Ann Marie Shepherd, M.A., BCBA
- Behavior Analyst
- Marysville, OH
National Provider Identifier
1962693648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 20135 State Route 245
Marysville, OH 43040-9114 - Phone
- (614) 582-5634
- Fax
- (937) 642-4470
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
20135 State Route 245
Marysville, OH 43040-9114
Mailing address
PO Box 915
Marysville, OH 43040-0915
Phone (614) 582-5634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Behavioral Consulting, LLC | Past | Accepting new patients |
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.
-
- Case Management Agency
- Marysville, OH
- NPI 1902185614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1962693648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 915",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430400915",
"telephone_number": "614-582-5634",
"fax_number": "937-642-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20135 STATE ROUTE 245",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430409114",
"telephone_number": "614-582-5634",
"fax_number": "937-642-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "LEIGH ANN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.