Blake Shelly
Behavior Technician · Fort Smith, AR
Blake Shelly is a behavior technician with a practice address in Fort Smith, Arkansas, and NPI 1134855026, issued on Jul 25, 2022. Check the license (Arkansas 1-12-11455, as entered in NPPES) with the Arkansas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Blake Shelly
- Primary taxonomy
- Behavior Technician 106S00000X
- License number
- 1-12-11455 AR
Self-reported in NPPES; status is on the state search - Practice location
- 5604 Ellsworth RD, Fort Smith, AR 72903
- Phone
- (479) 926-4673
- Enumerated
- Jul 25, 2022
- Record last updated
- Jul 25, 2022
- Entity
- Type 1 · individual
Also registered at 5604 Ellsworth RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Blake Shelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arkansas board licenses this profession
Search for license 1-12-11455Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
110 behavior technician records list a practice address in Fort Smith
They are 110 of the 2,951 NPPES records with a practice address in Fort Smith, and 4,041 behavior technician records in Arkansas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 110 in Fort Smith → All 4,041 in Arkansas → Every provider in Fort Smith →
Other behavior technician records in Arkansas
- Carrie AbbeyParagould, AR1144966631
- Piper AbbottSherwood, AR1417659541
- Jaylan Abdullah, RBTNorth Little Rock, AR1255180998
- Charity AbernathyBarling, AR1164274999
- Taquinlynn AbernathyNorth Little Rock, AR1750107249
- Dana Abou-DiabNorth Little Rock, AR1861283152
- Mia AbramJonesboro, AR1700683646
- Caitlyn Abreu, BTConway, AR1407327661
- Elaina AbsherNorth Little Rock, AR1477343382
- Ashlynn AbshireBryant, AR1801693312
Common questions
What is Blake Shelly's NPI number?
Blake Shelly's National Provider Identifier (NPI) is 1134855026, issued on Jul 25, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Blake Shelly located?
The NPPES record lists a practice address at 5604 Ellsworth RD, Fort Smith, AR, 72903. Phone: (479) 926-4673. Providers update this record themselves, so call before visiting.
How can I verify Blake Shelly's license?
NPPES lists Arkansas license number 1-12-11455, as entered by the provider. Search the Arkansas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.