SHANI PORTER
NPI 1164089504
Behavior Analyst in Statesboro, GA

Q: What is Shani Porter's NPI number?

The NPI number for Shani Porter is 1164089504. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Shani Porter's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Shani Porter was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2019

24 JOE KENNEDY BLVD STE 13, STATESBORO, GA 30458(912) 208-2024 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, Feb 9, 2023, May 21, 2019 (3 updates tracked since 2019).

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About Shani Porter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANI PORTER (NPI 1164089504) is an individual behavior analyst provider in Statesboro, Georgia and active in the NPI registry since May 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164089504

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSHANI PORTER

Location Address24 JOE KENNEDY BLVD STE 13Statesboro, GA 30458-3113

Mailing Address2805 S Industrial Hwy Ste 100Ann Arbor, MI 48104-6791

Phone(912) 208-2024

Sole ProprietorNo

Enumeration DateMay 21, 2019

Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1164089504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedBehavior TechnicianTaxonomy 106S00000X

24 JOE KENNEDY BLVD STE 13, Statesboro, GA 30458

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Secondary Practice Locations 2

Location 1247 S Stone StDeland, FL 32720-5233 · Phone (407) 669-5363

Location 24620 N State Road 7 Ste 300Lauderdale Lakes, FL 33319-5867 · Phone (407) 669-5363

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA ZAMBECK

Behavior Technician