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SHANICE NICOLE DICKERSON
NPI 1174992531
Behavior Analyst in Mcdonough, GA

Active since September 16, 2015
382 RACETRACK RD, MCDONOUGH, GA 30252(912) 548-9944 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2021, Mar 19, 2021 (2 updates tracked since 2021).

About Shanice Nicole Dickerson NPPES

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

SHANICE NICOLE DICKERSON (NPI 1174992531) is an individual behavior analyst provider in Mcdonough, Georgia and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1174992531
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSHANICE NICOLE DICKERSON
Location Address382 RACETRACK RDMcdonough, GA 30252-1022
Mailing Address382 Racetrack RdMcdonough, GA 30252-1022 · (912) 548-9944
Phone(912) 548-9944
Sole ProprietorNo
Enumeration DateSeptember 16, 2015
Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1174992531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
382 RACETRACK RD, Mcdonough, GA 30252
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Other Identifiers 7

Other1303287MA · Mbhp
OtherM18633MA · Bcbs
Other1004745MA · Fallon
Other99618201MA · Network Health
Other1004745MA · Nhp
Other0000023532MA · Bmc
Other042611055MA · Tax Id

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.

TAJA BROTHERS RBT
Behavior Technician
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
MR. NATHANIEL J MOORE
Behavior Technician
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
MCKENZIE WASHINGTON DODSON M. ED., CCC-SLP
Speech-Language Pathologist
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 205-5437
RYAN PATRICK MURTHA CCC-SLP
Speech-Language Pathologist
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 205-5437
KIMBERLY SHARPE
Behavior Technician
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
ZEKE ORAZI WALSH
Behavior Analyst
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
DANIELLE HURDLE
Behavior Technician
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
AALIYAH STOUDEMIRE
Behavior Technician
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanice Dickerson's NPI number?

The NPI number for Shanice Dickerson is 1174992531. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Shanice Dickerson located?

Shanice Dickerson practices at 382 Racetrack Rd, Mcdonough, GA 30252. The listed phone number is (912) 548-9944.

What is Shanice Dickerson's specialty?

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

When was this NPI record last updated?

The NPPES record for Shanice Dickerson was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.