SHELBY KATHERINE CHIRILLO (NPI# 1083180285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083180285 |
| Entity Type | Individual |
| Full Name | SHELBY KATHERINE CHIRILLO |
| Practice Address |
2500 Bobcat Center Suite G North Port FL 34223 |
| Mailing Address |
2500 Bobcat Center Suite G North Port FL 34288 |
| Practice Telephone | 4178607640 |
| Mailing Telephone | 9416621020 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 019708500 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019708500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Bobcat Center, North Port, FL 34223 | 9416621020 |
| Street Address |
2500 BOBCAT CENTER SUITE G |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073022885 | Stacey Jo Seitz | Nurse Practitioner | 900 Pine Street, Suite 222, Englewood, FL 34223 | 2017-09-25 |
| 1750823688 | Bernice Cynthia Putnam | Technician | 401 E Langsner St, Englewood, FL 34223 | 2016-11-09 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1336578293 | Lawrence Hale | Dentist | 701 S Indiana Ave Ste A, Englewood, FL 34223 | 2013-11-01 |
| 1730404310 | Michael A Arpasi | Hearing Instrument Specialist | 1720 S Mccall Rd Ste H, Englewood, FL 34223 | 2010-04-07 |
| 1962657452 | Amy J. Culbertson | Nurse Practitioner | 1719 Gale St, Englewood, FL 34223 | 2008-11-25 |
| 1396884433 | Cynthia J Juliao | Audiologist | 1108 Larchmont Dr, Englewood, FL 34223 | 2007-02-05 |
| 1538224092 | Cynthia Kay Davis | Obstetrics & Gynecology | 2061 Englewood Rd Ste 1, Englewood, FL 34223 | 2006-12-26 |
| 1902966146 | Dennis M Jewell Dc Pa | Chiropractor | 579 South Indiana Ave, Suite C, Englewood, FL 34223 | 2006-12-11 |
| 1881783991 | Donald Patrick Blem | Family Medicine | 80 North Oxford Dr., Englewood, FL 34223 | 2006-10-12 |
| Find all providers in zip 34223 | ||||
| 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 |
|---|---|---|---|---|
| 1821602699 | Andre Coleman | Behavior Technician | 3347 Moravia Ave, North Port, FL 34286-5216 | 2020-08-31 |
| 1134764087 | Michelle Lee Farnsworth | Behavior Technician | 4969 Hader Rd, North Port, FL 34288-8383 | 2019-11-14 |
| 1316589930 | Daimon A Glenn | Behavior Technician | 3723 Cinderella Rd, North Port, FL 34286-2066 | 2019-10-15 |
| 1508347527 | Jessica Robinson | Behavior Technician | 5611 Quartz Ter, North Port, FL 34288-4525 | 2018-08-27 |
| 1235625310 | Christina M Clayton | Behavior Technician | 4243 Kiska Rd, North Port, FL 34288-6362 | 2018-07-02 |
| 1699269357 | Brittani Lynn Bunkley | Behavior Technician | 1131 Ohana Way Unit 306, North Port, FL 34289-9442 | 2018-06-17 |
| 1316551765 | Heather Sifford | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-09-03 |
| 1386253292 | Carly Joy Sharpsteen | Behavior Technician | 2500 Bobcat Village Center Rd Unit G, North Port, FL 34288-8476 | 2020-07-27 |
| 1619590460 | Cassie Wills | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| 1992328819 | Jennifer Charles | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| Find all providers in NORTH PORT | ||||
| City | NORTH PORT |
| Zip Code | 34223 |
Please comment or provide details below to improve the information on SHELBY KATHERINE CHIRILLO.
| 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.