NPI age
10 years
Enumerated 2015-09-16
● Active
Type 1 · Individual
Shanice Nicole Dickerson
Dickerson is 1 of 31 behavior analyst providers in McDonough and 1 of 3228 in Georgia.
Primary specialty
Behavior Analyst
Licensed in
MA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-11-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3228 active behavior analyst providers in Georgia.
NPI age
10 years
↑ 5 yr above median (5 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Practice location
382 Racetrack Rd
McDonough, GA 302521022
Mailing address
382 Racetrack Rd
McDonough, GA 302521022
Specialties
-
Behavior Analyst PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MA) | 042611055 | TAX ID |
| 01 (MA) | 99618201 | NETWORK HEALTH |
| 01 (MA) | 1004745 | FALLON |
| 01 (MA) | 0000023532 | BMC |
| 01 (MA) | 1004745 | NHP |
| 01 (MA) | M18633 | BCBS |
| 01 (MA) | 1303287 | MBHP |
Practice context
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new behavior analyst provider has been added in McDonough in the last 180 days.
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