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

Shanice Blair

Individual provider Behavior Technician · NPI 1962145664

Shanice Blair is a Behavior Technician in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

3330 Chastain Meadows Pkwy NW
Kennesaw, GA 30144-5881
Phone: (678) 648-7644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-217138 (GA)

Record details

NPI number1962145664
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 19, 2022
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645

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