IndividualActive
Shaniah Dickens
NPI 1104622414 · Behavior Technician · South Bend, IN
Shaniah Dickens is a Behavior Technician provider in South Bend, IN (NPI 1104622414).
Provider details
- NPI number
- 1104622414
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1109 Sherman Ave
South Bend, IN 46616-1540
Phone: (574) 904-3688
Street-level locationGet directions
Mailing address
1109 Sherman Ave
South Bend, IN 46616-1540
Registry dates
- Enumerated
- 2025-02-19
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Frequently asked questions
- What is Shaniah Dickens's NPI number?
- Shaniah Dickens's National Provider Identifier (NPI) is 1104622414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shaniah Dickens's specialty?
- Shaniah Dickens is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Shaniah Dickens located?
- Shaniah Dickens's practice location on file with NPPES is 1109 Sherman Ave, South Bend, IN 46616-1540.
- What is Shaniah Dickens's phone number?
- The practice phone number listed in the NPPES registry for Shaniah Dickens is (574) 904-3688.
- Is Shaniah Dickens's NPI active?
- Yes — Shaniah Dickens's NPI (1104622414) is active in the NPPES registry as of the last update on 2025-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.