PHILLIP SHANE CLEMONS (NPI# 1053935015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053935015 |
| Entity Type | Individual |
| Full Name | PHILLIP SHANE CLEMONS |
| Practice Address |
6430 Plantation Park Ct Ste 200 Fort Myers FL 33966-4816 |
| Mailing Address |
1341 Lavin Ln North Fort Myers FL 33917-5307 |
| Practice Telephone | 2392232751 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
6430 PLANTATION PARK CT STE 200 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1285244046 | Lourdes Teresa Padierne Gonzalez I | Behavior Technician | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966-4816 | 2020-08-06 |
| 1194350363 | Leonor Ines Almeida | Behavior Technician | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966-4816 | 2020-03-09 |
| 1023659661 | Ismaray Remedios Probance | Behavior Technician | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966-4816 | 2019-10-04 |
| 1932670072 | Crista Marie Macias | Speech-Language Pathologist | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966-4816 | 2018-12-16 |
| 1497244339 | Idelmys Diaz | Behavior Technician | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966-4816 | 2018-05-07 |
| 1851893564 | Jessica Ivonne Feliciano | Behavior Technician | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966-4816 | 2018-03-08 |
| 1922508043 | Lisa Marie Diamond | Behavior Technician | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966-4816 | 2018-02-15 |
| 1912405473 | Danielle M Kline | Occupational Therapist | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966-4816 | 2018-01-30 |
| 1629583059 | Yenis Torres-niebla | Behavior Technician | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966-4816 | 2017-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| 1356582381 | Bassan Jorge Allan | Surgery | 4571 Colonial Blvd Ste 100, Fort Myers, FL 33966 | 2009-03-21 |
| Find all providers in zip 33966 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351870 | Principles of Learning Inc | Behavioral Analyst | 6361 Presidential Ct, C-111, Fort Myers, FL 33919-3543 | 2020-09-19 |
| 1568077758 | Behavior Miracles LLC | Behavioral Analyst | 8509 Southwind Bay Cir, Fort Myers, FL 33908-6033 | 2020-09-14 |
| 1972111425 | Blue Bridge Therapy Center LLC | Behavioral Analyst | 4531 Deleon St Ste 212, Fort Myers, FL 33907-1279 | 2020-07-21 |
| 1609484674 | Better Kids Behavioral Therapy | Behavioral Analyst | 6719 Winkler Rd Ste 116, Fort Myers, FL 33919-7200 | 2020-07-16 |
| 1386282317 | Luxvil Medical Center Inc | Behavioral Analyst | 3800 Colonial Blvd Ste 101, Fort Myers, FL 33966-1075 | 2019-12-20 |
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1346807328 | Calusa Behavior Solutions | Behavioral Analyst | 5552 Malt Dr Apt 4, Fort Myers, FL 33907-4658 | 2019-05-24 |
| 1114402658 | Melissa Steinborn | Behavioral Analyst | 12734 Kenwood Ln Ste 30, Fort Myers, FL 33907-5639 | 2018-10-01 |
| 1700369626 | Aba Community Therapy Corp | Behavioral Analyst | 12995 S Cleveland Ave Ste 172, Fort Myers, FL 33907-3841 | 2018-09-07 |
| 1639658925 | Spectra Behavioral Solutions, Inc | Behavioral Analyst | 10501 Ben C Pratt/6 Mile Cypress Pkwy Ste 115, Fort Myers, FL 33966-6400 | 2018-08-08 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
Please comment or provide details below to improve the information on PHILLIP SHANE CLEMONS.
| 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.