SHANE G WALTERS


Address: 5245 Ramsey Way, Fort Myers, FL 33907
Phone: 2396916482

SHANE G WALTERS (NPI# 1114432697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114432697
Entity Type Individual
Full Name SHANE G WALTERS
Credential BCBA
Practice Address 5245 Ramsey Way
Fort Myers
FL 33907
Mailing Address 2043 Churchill Ave
Lehigh Acres
FL 33971-5665
Practice Telephone 2396916482
Practice Fax Number 8883915328
Mailing Telephone 2398518486
Enumeration Date 2017-12-06
Last Update Date 2019-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5245 Ramsey Way, Fort Myers, FL 33907 2396916482 8883915328
6430 Plantation Park Ct Ste 200, Fort Myers, FL 339664816 2392151025

Office Location

Street Address 5245 RAMSEY WAY
City FORT MYERS
State FL
Zip Code 33907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184871568 Emily C Ptaszek Psyd Pa Psychologist 5245 Ramsey Way, Suite 1, Fort Myers, FL 33907-2124 2008-08-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134739253 Islande Dorcin Social Worker 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 2020-08-04
1003462268 Ronny Rodolfo Herrera Behavior Technician Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 2019-08-14
1528549094 Deborah Senese Streater Dentist 12530 New Brittany Blvd., Fort Myers, FL 33907 2018-08-23
1437648391 Rita Lusinete Rabitt Registered Nurse 14084 Clear Water Ln, Fort Myers, FL 33907 2018-05-07
1972092146 Surgery Centre of Sw Florida LLC Clinic/Center 13051 University Dr Ste 102, Fort Myers, FL 33907 2018-05-03
1740787761 Care Transport Inc Non-emergency Medical Transport (VAN) 7850 Reflection Cove Dr, Fort Myers, FL 33907 2018-04-06
1942730692 Concierge Care of Fort Myers, LLC In Home Supportive Care 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 2017-06-15
1710411467 Johnnie Terrell Social Worker 43 Barkley Cir #102, Fort Myers, FL 33907 2017-04-19
1881041184 Hchs Medical Center Clinic/Center 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 2016-05-17
1043665227 Tong Liu Dentist 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 2016-04-26
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City FORT MYERS
Zip Code 33907

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Dataset Information

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.

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