SHANNON SMITH (NPI# 1104488931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104488931 |
| Entity Type | Individual |
| Full Name | SHANNON SMITH |
| Practice Address |
2751 Green Oaks Rd Fort Worth TX 76116-1706 |
| Practice Telephone | 8175601139 |
| Mailing Telephone | 8175601139 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| 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 |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1821603267 | Shannon Alexandria Smith | Dietitian, Registered | 20621 Ne 1st Ct, Miami, FL 33179-1702 | 2020-09-12 |
| 1790316040 | Shannon Machelle Smith | Nurse Practitioner | 7705 Happy Hollow Dr, Mint Hill, NC 28227-8518 | 2020-01-27 |
| 1750925392 | Shannon Joy Smith | Nurse Practitioner | 152 Pearson Rd, Greer, SC 29651-7146 | 2019-11-06 |
| 1104308014 | Shannon Lynn Smith | Massage Therapist | 15131 Northville Rd, Plymouth, MI 48170-2548 | 2018-09-06 |
| 1548747181 | Shannon Marie Smith | Psychologist | 146 2nd St N Ste 305, Saint Petersburg, FL 33701-3361 | 2018-07-26 |
| 1942726393 | Shannon Elizabeth Smith | Counselor | 3535 S Sherwood Forest Blvd Ste 227, Baton Rouge, LA 70816-2255 | 2017-08-17 |
| 1043749450 | Shannon Michelle Smith | Marriage & Family Therapist | 707 W 5th Ave Apt 1116, Spokane, WA 99204-2780 | 2017-06-08 |
| 1033640644 | Shannon Elizabeth Smith | Social Worker | 212 W Red Bridge Rd, Kansas City, MO 64114-5136 | 2017-03-24 |
| 1518311240 | Shannon Kathleen Smith | Licensed Practical Nurse | 9040 Jackson Avenue, Attn Mchk-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-04-19 |
| Street Address |
2751 GREEN OAKS RD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750515946 | Laura Michelle Tewmey | Occupational Therapist | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2009-05-04 |
| 1609424639 | Alexis Nicole Sexton | Behavior Technician | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2019-09-03 |
| 1578111415 | Shelbi Dillaha | Behavior Technician | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2019-09-03 |
| 1205484235 | Kali Allyce Love-seckinger | Behavior Technician | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2019-09-03 |
| 1982252946 | Rebecca Lynn Curry | Behavior Technician | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2019-09-03 |
| 1467009399 | Karina Brewer | Behavior Technician | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2019-08-26 |
| 1598312670 | Kati Nicole Weckman | Behavior Technician | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2019-08-22 |
| 1912551789 | Heather Garza | Behavior Technician | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2019-07-30 |
| 1093377921 | Christi Wood | Behavior Technician | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2019-07-01 |
| 1154983153 | Lindsey Hall | Behavior Technician | 2751 Green Oaks Rd, Fort Worth, TX 76116-1706 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| 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 |
|---|---|---|---|---|
| 1316544547 | Olivia Shinall | Behavior Technician | 3036 Briery Dr, Fort Worth, TX 76119-1571 | 2020-10-01 |
| 1043823271 | Mink Sandhu | Behavior Technician | 4233 Silverwood Trl, Fort Worth, TX 76244-4959 | 2020-08-27 |
| 1053946830 | Jasmine Waheed | Behavior Technician | 2425 Half Moon Bay Ln, Fort Worth, TX 76177-3015 | 2020-03-11 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1760043319 | Kailey Davis | Behavior Technician | 1100 Circle Dr Ste 101, Fort Worth, TX 76119-8111 | 2019-06-25 |
| 1053876482 | Hannah Burgos | Behavior Technician | 4537 Heritage Trace Pkwy Bldg 11a, Fort Worth, TX 76244-8921 | 2019-02-11 |
| 1538633581 | Adesuwa Phyllis Imade | Behavior Technician | 1751 River Run # 200, Fort Worth, TX 76107-6644 | 2019-01-13 |
| 1588185359 | Tamatha Weckwerth | Behavior Technician | 6133 Redear Dr, Fort Worth, TX 76179-7587 | 2017-07-03 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
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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.