SHELBY RAE YOUNG (NPI# 1073160834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073160834 |
| Entity Type | Individual |
| Full Name | SHELBY RAE YOUNG |
| Practice Address |
4121 M L King Ave Flint MI 48505-3707 |
| Mailing Address |
2221 Livernois Rd Ste 101 Troy MI 48083-1603 |
| Practice Telephone | 2485440360 |
| Mailing Telephone | 2485440360 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073077905 | Shelby Jo Young | Nurse Practitioner | 1490 E Walnut St, Watseka, IL 60970-1806 | 2019-01-24 |
| 1952825861 | Shelby Alexis Young | Physical Therapist | 982 Eastern Pkwy, Louisville, KY 40217-1566 | 2017-08-01 |
| 1518406446 | Shelby Nicole Young | Technician, Other | 11037 Warner Ave, 339, Fountain Valley, CA 92708-4007 | 2017-02-12 |
| 1457337339 | Shelby Glen Young | Pharmacist | 605 W Main St, New Lebanon, OH 45345-9173 | 2005-12-21 |
| Street Address |
4121 M L KING AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48505-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1386285815 | Courtney Lorraine Isaac | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2019-10-07 |
| 1649811175 | Majd Abufarha | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2019-10-07 |
| 1871056168 | Alayna Brea Honaker | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2019-04-12 |
| 1952869703 | Michael Thomas Stafford II | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2019-03-11 |
| 1487110508 | Devonta Jones | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2019-02-13 |
| 1538661764 | Jason Lamar Relerford | Speech-Language Pathologist | 4121 M L King Ave, Flint, MI 48505-3707 | 2018-03-04 |
| 1619486024 | Hannah Pifher | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2017-09-28 |
| 1639688039 | Ashley Hodgeson | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2017-09-28 |
| 1588173082 | Ashley Barto | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912402629 | New Seasons Adult Services, LLC | Clinic/Center | 1035 E. Carpenter Road, Flint, MI 48505 | 2018-03-26 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1043413206 | Debra Ann Fields-pettigrew | Social Worker | G2138 West Carpenter Rd, Flint, MI 48505 | 2007-06-06 |
| 1164962015 | Anya Marie Harris | Dentist | 2900 N Saginaw St, Flint, MI 48505 | 2017-02-26 |
| 1982001863 | Benjamin William Dempsey-klott | Nurse Practitioner | G2138 West Carpenter Rd, Flint, MI 48505 | 2014-11-20 |
| 1235643487 | Sandra Florida | Registered Nurse | 1057 E Coldwater Rd, Flint, MI 48505-1501 | 2017-11-27 |
| Find all providers in zip 48505 | ||||
| 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 |
|---|---|---|---|---|
| 1598374852 | Leah Stadel | Behavior Technician | 4469 Rainbow Ln, Flint, MI 48507-6228 | 2020-07-23 |
| 1689220543 | Bria Marese Jones | Behavior Technician | 6102 Dupont St, Flint, MI 48505-2684 | 2019-08-15 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1972017309 | Gabriel Reddoch | Behavior Technician | 5221 W Court St, Flint, MI 48532-4114 | 2017-11-21 |
| 1275052573 | Alexis Kristina Nedanis | Behavior Technician | 1026 Sussex Ln, Flint, MI 48532-2654 | 2017-09-18 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1649718909 | Elexis Moore | Behavior Technician | 909 Stevens Street, Flint, MI 48502-1620 | 2017-02-07 |
| 1366993743 | Craig Gray | Behavior Technician | 5714 Suburban Ct, Flint, MI 48505-2645 | 2016-10-20 |
| 1609232487 | Taquaysha Taylor | Behavior Technician | 1815 Oxley Dr, Flint, MI 48504-7039 | 2016-01-08 |
| 1558993139 | Hailee Strong | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2020-02-11 |
| Find all providers in FLINT | ||||
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| 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.