Shauneyah Nichols

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1410 Custer Ave SE
Atlanta, GA 30316-3304

Phone

(404) 902-3744

NPI assigned

Mar 13, 2025

Sex

Female

Sole proprietor

No

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": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1992505671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345310",
            "telephone_number": "248-436-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CUSTER AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163304",
            "telephone_number": "404-902-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4164 Rainbow Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300342223",
            "country_code": "US",
            "telephone_number": "404-795-6835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27777 Inkster Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483345310",
            "country_code": "US",
            "telephone_number": "248-436-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SHAUNEYAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Faye Nichols, PHD
• Mary Lee Nichols, APRN,BC
• Michelle Nichols, MD
• Michelle Nicole Nichols
• Presley Helen Nichols
• Vivian L Nichols, LMT
• Chadwick Brian Nicholson, PHARM.D., R.PH.
• Daniel Alan Nicholson, M.D.
• Elizabeth Nicholson, M.ED., CCC-SLP
• Ivy Marie Nicholson, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.