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

Individual provider Behavior Analyst · NPI 1649880493

Shane Nichols, BCBA is a Behavior Analyst in Dalton, Georgia. Licensed in Georgia, Tennessee and Wyoming. Registered with an NPI since 2020.

Licensed in
GA, TN, WY
In the registry since
2020
Specialties on file
3
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

1401 Applewood Dr Ste 2
Dalton, GA 30720-2699
Phone: (706) 250-9372
Fax: (706) 343-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-42979 (GA)
Behavior Analyst Taxonomy 103K00000X · Licence 1-20-42979 (TN)
Behavior Analyst Taxonomy 103K00000X · Licence 1-20-42979 (WY)

Record details

NPI number1649880493
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedAugust 6, 2020
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023
Mailing address1401 Applewood Dr Ste 2, Dalton, GA 30720-2699

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