MRS. SHERRY LYNNE ELLIS (NPI# 1124654983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124654983 |
| Entity Type | Individual |
| Full Name | MRS. SHERRY LYNNE ELLIS |
| Practice Address |
11102 Lindbergh Business Ct Saint Louis MO 63123-7810 |
| Practice Telephone | 3142063400 |
| Practice Fax Number | 3142063477 |
| Mailing Telephone | 3142063400 |
| Mailing Fax Number | 3142063477 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727797 | Sherry J Ellis | Specialist | 123 Livingston Ave Apt A-2, Albany, NY 12207-2318 | 2020-07-20 |
| 1548741168 | Sherry Lynn Ellis | Licensed Vocational Nurse | 909 Underwood St, Kermit, TX 79745-4524 | 2018-08-22 |
| 1821543455 | Sherry Ellis | Counselor | 12611 S Willowbrook Ave Ste 505, Compton, CA 90222-1527 | 2016-08-24 |
| 1114114311 | Sherry B. Ellis | Internal Medicine | 16244 S Military Trl Ste 170, Delray Beach, FL 33484-6532 | 2007-10-02 |
| 1184788937 | Sherry R Ellis | Counselor | 9199 Butler Creek Rd, Missoula, MT 59808-9306 | 2006-12-19 |
| 1780742064 | Sherry Ann Ellis | Social Worker | Mass Bay Counseling 45 Eastman Street, South Easton, MA 02375 | 2006-12-05 |
| Street Address |
11102 LINDBERGH BUSINESS CT |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63123-7810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606273 | Precision Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2005-06-01 |
| 1760018584 | Kristen Marie Meyer | Behavior Technician | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2020-03-13 |
| 1497394175 | Kayla Rosenberg | Technician, Other | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-12-30 |
| 1508405291 | Jennifer Carolyn Baty | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-12-30 |
| 1053958561 | Lisa Marie Mcavoy | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-12-03 |
| 1013553619 | Anastasia L Murdock | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-11-19 |
| 1316594666 | Courtney Neff | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-21 |
| 1437706785 | Lillian Marie Mcentire | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-21 |
| 1467008615 | Madison Rose Baker-wilmes | Behavior Technician | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-14 |
| 1841846102 | Jenna Marie Vitale | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| 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 |
|---|---|---|---|---|
| 1881207264 | Kenyatta Dakesha Cole | Behavior Technician | 4889 Kossuth Ave Fl 1, Saint Louis, MO 63115-2107 | 2020-08-26 |
| 1326658527 | Danielle Rose Vaughn | Behavior Technician | 4251 Botanical Ave Apt B, Saint Louis, MO 63110-3520 | 2020-08-03 |
| 1023636412 | Abby Bialeschki | Behavior Technician | 7043 Creekview Trl Apt 204, Saint Louis, MO 63123-2459 | 2020-07-11 |
| 1104449156 | Parker Ryan Light | Behavior Technician | 518 Selma Ave, Saint Louis, MO 63119-4142 | 2020-05-26 |
| 1033738794 | Megan Biscan | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-04-13 |
| 1275163867 | Dex West | Behavior Technician | 4728 Milentz Ave, Saint Louis, MO 63116-1209 | 2020-01-22 |
| 1427696756 | Jamila Moore | Behavior Technician | 3934 Pennsylvania Ave Apt 2fl, Saint Louis, MO 63118-4445 | 2019-12-17 |
| 1376192849 | Michael Stuart Shadwell | Behavior Technician | 3814 Wilmington Ave, Saint Louis, MO 63116-3221 | 2019-09-08 |
| 1710452016 | Fayshia Latise Jones | Behavior Technician | 2912 Arsenal St, Saint Louis, MO 63118-2203 | 2018-10-12 |
| 1235617812 | Khadijah Motley | Behavior Technician | 2 Cityplace Dr Fl 2, Saint Louis, MO 63141-7390 | 2018-08-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63123 |
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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.