CORY CLAYTON SHATTLES RBT
NPI 1265000582
Behavior Technician in Villa Rica, GA

Active since June 14, 2021
104 E GORDON ST, VILLA RICA, GA 30180(229) 366-1687 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Jun 14, 2021 (2 updates tracked since 2021).

About Cory Clayton Shattles Rbt NPPES

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

CORY CLAYTON SHATTLES RBT (NPI 1265000582) is an individual behavior technician in Villa Rica, Georgia, licensed in Georgia (RBT-21-171519) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1265000582
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameCORY CLAYTON SHATTLESCredential: RBT
Location Address104 E GORDON STVilla Rica, GA 30180-2018
Mailing Address104 E Gordon StVilla Rica, GA 30180-2018 · (229) 366-1687
Sole ProprietorNo
Enumeration DateJune 14, 2021
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1265000582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Licenses Licensed in GA · RBT-21-171519 Licensed · RBT-21-171519
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
104 E GORDON ST, Villa Rica, GA 30180

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 Cory Shattles's NPI number?

The NPI number for Cory Shattles is 1265000582. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Cory Shattles located?

Cory Shattles practices at 104 E Gordon St, Villa Rica, GA 30180. The listed phone number is (229) 366-1687.

What is Cory Shattles's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Cory Shattles was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.