Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shanice Nicole Dickerson

Behavior Analyst in Mcdonough, GA · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174992531

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Registry record

Entity type Individual (Type 1)

Name Shanice Nicole Dickerson

Sex Female

Practice address 382 Racetrack Rd, Mcdonough, GA, 30252

Phone (912) 548-9944

Enumeration date Sep 16, 2015

Last updated in NPPES Nov 12, 2021

Taxonomy & licenses

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Primary

Other identifiers

Identifier	Type	State	Issuer
042611055	Other	MA	TAX ID
99618201	Other	MA	NETWORK HEALTH
1004745	Other	MA	FALLON
0000023532	Other	MA	BMC
1004745	Other	MA	NHP
M18633	Other	MA	BCBS
1303287	Other	MA	MBHP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Shanice Dickerson practice?

The practice location on file with NPPES is in Mcdonough, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Shanice Dickerson?

The National Provider Identifier (NPI) for Shanice Dickerson is 1174992531, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-12.