Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane G Walters Sr., BCBA

Individual provider Behavior Analyst · NPI 1114432697

Shane G Walters Sr., BCBA is a Behavior Analyst in West Hartford, Connecticut. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

71 Raymond Rd
West Hartford, CT 06107-2211
Phone: (239) 986-9398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 196 Woodland St, Bristol, CT 06010-5283 — (860) 308-6804

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1114432697
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedDecember 6, 2017
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address93 Lockwood Dr, Watertown, CT 06795-2511

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