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Travis Sean Shafer

Assistant Behavior Analyst β€’ Spring Lake, NC

Active NPI 1831661982 Individual Practitioner Male Practitioner
Practice location in NPPES

102 Superior Dr
Spring Lake, NC 283903190

Call 9104841711 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

102 Superior Dr

Spring Lake, NC 283903190

Telephone 9104841711
Organization at the Same NPPES Address or Phone
Autism Therapeutic Services Facility NPI 1477217982

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Spring Lake and North Carolina

9 active clinicians are listed under Assistant Behavior Analyst with a practice address in Spring Lake, NC (208 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-30
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES NC A3030

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

License # reported to NPPES NC BACB1013718

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Carolina Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location July 30, 2025

Registered at 102 SUPERIOR DR, SPRING LAKE, NC 283903190 (Tel: 9104841711)

πŸ“
Updated Business Mailing Address July 30, 2025

Registered at 149 BROOKS MANGUM RD, CAMERON, NC 283268558 (Tel: 8083531777)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2025

Counselor

πŸ“
Updated Practice Location October 06, 2023

Registered at 941 S MCPHERSON CHURCH RD, FAYETTEVILLE, NC 283035369 (Tel: 9102864784)

πŸ“
Updated Business Mailing Address October 06, 2023

Registered at 941 S MCPHERSON CHURCH RD, FAYETTEVILLE, NC 283035369 (Tel: 9102864784)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2023

Behavior Technician (license number reported to NPPES: NC BACB1013718)

βœ…
NPI Profile Active December 28, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 28, 2018

Registered at 714 W MAIN ST, GRASS VALLEY, CA 959456410 (Tel: 5304779800)

πŸ“
Business Mailing Address (Initial Record) December 28, 2018

Registered at 714 W MAIN ST, GRASS VALLEY, CA 959456410 (Tel: 5304779800)

πŸ‘€
Provider Name / Credentials (Initial Record) December 28, 2018

Recorded as TRAVIS SHAFER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2018

Counselor

🟒
Initial NPI Registration & Enumeration December 28, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831661982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2018
Last Update: July 30, 2025
Sole Proprietor: Yes

Mailing Address

149 Brooks Mangum Rd

Cameron, NC 283268558

Phone: 8083531777

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.