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

Shanice Nicole Dickerson

Individual provider Behavior Analyst · NPI 1174992531

Shanice Nicole Dickerson is a Behavior Analyst in McDonough, Georgia. Licensed in Massachusetts. Registered with an NPI since 2015.

Licensed in
MA
In the registry since
2015

Practice location Address checks out

382 Racetrack Rd
McDonough, GA 30252-1022
Phone: (912) 548-9944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (MA)

Record details

NPI number1174992531
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2015
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021

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