IndividualActive
Avianna Shull, 15-7197-08392
NPI 1083061113 · Behavior Analyst · Pensacola, FL
Provider details
- NPI number
- 1083061113
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- 15-7197-08392
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5190 Bayou Blvd
Bldg. 2
Pensacola, FL 32503-2194
Phone: (850) 416-4681
Fax: (850) 416-7776
Street-level locationGet directions
Mailing address
5190 Bayou Blvd
Pensacola, FL 32503-2194
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2016-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.