IndividualActive
Blake Shelly
NPI 1134855026 · Behavior Technician · Fort Smith, AR
Blake Shelly is a Behavior Technician provider in Fort Smith, AR (NPI 1134855026).
Provider details
- NPI number
- 1134855026
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-12-11455 (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% 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
5604 Ellsworth Rd
Fort Smith, AR 72903-3224
Phone: (479) 926-4673
Street-level locationGet directions
Mailing address
Po Box 10921
Fort Smith, AR 72917-0921
Registry dates
- Enumerated
- 2022-07-25
- Last updated
- 2022-07-25
- Certified
- 2022-07-25
Frequently asked questions
- What is Blake Shelly's NPI number?
- Blake Shelly's National Provider Identifier (NPI) is 1134855026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Shelly's specialty?
- Blake Shelly is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Blake Shelly located?
- Blake Shelly's practice location on file with NPPES is 5604 Ellsworth Rd, Fort Smith, AR 72903-3224.
- What is Blake Shelly's phone number?
- The practice phone number listed in the NPPES registry for Blake Shelly is (479) 926-4673.
- Is Blake Shelly's NPI active?
- Yes — Blake Shelly's NPI (1134855026) is active in the NPPES registry as of the last update on 2022-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.