SHELBY LYNNE CLARK (NPI# 1013540210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013540210 |
| Entity Type | Individual |
| Full Name | SHELBY LYNNE CLARK |
| Practice Address |
5402 Holly Rd Ste 2102 Corpus Christi TX 78411-4673 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 3614000277 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043863400 | Shelby Clark | Specialist/Technologist | 4310 Appleby Sand Rd, Nacogdoches, TX 75965-2232 | 2019-07-24 |
| 1598179897 | Shelby Leigh Clark | Social Worker | 1211 N 8th St, Kansas City, KS 66101-2129 | 2014-06-13 |
| 1215578539 | Shelby Clark | Behavior Technician | 5900 W Chester Rd Ste C, West Chester, OH 45069-2951 | 2019-10-08 |
| 1982257507 | Shelby Clark | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-23 |
| 1942788815 | Shelby Linnette Clark | Massage Therapist | 1307 Violet St Se, Lacey, WA 98503-5710 | 2018-08-02 |
| 1023511409 | Shelby Lee Clark | Occupational Therapist | 205 Nolan Pkwy, Archbold, OH 43502-8404 | 2018-03-13 |
| 1013436518 | Shelby Clark | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2017-09-15 |
| Street Address |
5402 HOLLY RD STE 2102 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78411-4673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376011056 | Georgie Lela Dawi | Behavior Technician | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2018-11-11 |
| 1760095723 | Elizabeth Diane Earley | Behavioral Analyst | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2020-08-28 |
| 1932725439 | Darria Alexandria Wade | Behavioral Analyst | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2020-06-19 |
| 1417591371 | Serena Rose Garza | Behavior Technician | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2019-11-04 |
| 1063056349 | Angelica Marie Trevino | Behavioral Analyst | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2019-10-30 |
| 1477194025 | Ruffo Roberto Torres | Behavior Technician | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2019-10-04 |
| 1033768114 | Kimberly Kathleen Howell | Behavior Technician | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2019-09-10 |
| 1184270795 | Mariah A Navarro | Behavior Technician | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2019-08-11 |
| 1144787169 | Adrienne Marie Garza | Behavior Technician | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2019-02-26 |
| 1255802161 | Whitney Chapman | Behavioral Analyst | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
| 1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
| 1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
| 1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
| 1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
| 1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
| 1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
| 1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
| 1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
| Find all providers in zip 78411 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841843091 | Amy Lynn Larson | Behavior Technician | 710 Buffalo St Ste 802, Corpus Christi, TX 78401-1902 | 2019-07-17 |
| 1356903314 | Jamarra Johnson | Behavior Technician | 5402 Holly Rd Ste 2101, Corpus Christi, TX 78411-4645 | 2019-06-30 |
| 1376011056 | Georgie Lela Dawi | Behavior Technician | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2018-11-11 |
| 1508333493 | Kaylee King | Behavior Technician | 5402 Holly Rd # She2120, Corpus Christi, TX 78411-4645 | 2018-10-29 |
| 1770088874 | Amanda Michelle Hansen | Behavior Technician | 7014 Chiswick Dr, Corpus Christi, TX 78413-5325 | 2018-03-29 |
| 1073012019 | Olivia Guerrero | Behavior Technician | 2230 Saratoga Blvd Ste 1800, Corpus Christi, TX 78417-3400 | 2018-02-05 |
| 1114530102 | Maira Alexandra Bonilla | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2020-08-28 |
| 1689213886 | Valerie Marie Alvarado | Behavior Technician | 3458 S Alameda St, Corpus Christi, TX 78411-1720 | 2020-01-06 |
| 1619516473 | Anjelica Lissette Trejo | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2019-12-26 |
| 1366089948 | Catherine Gabbert | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2019-12-03 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
Please comment or provide details below to improve the information on SHELBY LYNNE CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.