SHANNON SMITH (NPI# 1134627292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134627292 |
| Entity Type | Individual |
| Full Name | SHANNON SMITH |
| Practice Address |
6416 Nw 5th Way Fort Lauderdale FL 33309 |
| Mailing Address |
6416 Nw 5th Way Fort Lauderdale FL 33309-6112 |
| Practice Telephone | 8887540398 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2019-10-25 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6416 Nw 5th Way, Fort Lauderdale, FL 33309 | 8887540398 |
| 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 |
6416 NW 5TH WAY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811339526 | Jessica Miret | Behavioral Analyst | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2013-07-23 |
| 1487261178 | Justine Roy | Behavioral Analyst | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2020-09-26 |
| 1295341451 | Mayline Marie Orta-rivera | Behavior Technician | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2020-09-22 |
| 1396350575 | Alexandria E Nuzzolilli | Behavior Technician | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2020-09-14 |
| 1952916496 | Nicole Lillian Haddad | Behavior Technician | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2020-09-11 |
| 1588208649 | Cierro Kennedy | Behavior Technician | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2019-11-01 |
| 1699318378 | Adela I Gutierrez | Behavior Technician | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2019-10-24 |
| 1700427168 | Randen Martin | Behavior Technician | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2019-10-07 |
| 1679114920 | Samuel Judd | Behavior Technician | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2019-10-07 |
| 1518508043 | Graziella Agustina Pozzo | Behavior Technician | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2019-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| 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 |
|---|---|---|---|---|
| 1568062420 | Mayling Marrero | Behavior Technician | 1121 Sw 31st Ave, Fort Lauderdale, FL 33312-2828 | 2020-10-29 |
| 1881291177 | Cynthia Janny Morestin | Behavior Technician | 1717 Se 4th Ave, Fort Lauderdale, FL 33316-2515 | 2020-10-08 |
| 1053936005 | Andy Parada Medina | Behavior Technician | 12431 Sw 7th Ct, Fort Lauderdale, FL 33325-3467 | 2020-06-15 |
| 1285258269 | Urania Margarita Zelaya Sanchez | Behavior Technician | 110 Isle of Venice Dr Apt 5, Fort Lauderdale, FL 33301-1769 | 2020-06-04 |
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1043845878 | Irina Blanco Estrada | Behavior Technician | 3620 Sw 22nd St, Fort Lauderdale, FL 33312-4246 | 2020-03-12 |
| 1427680818 | Hector J Garcia | Behavior Technician | 1717 Nw 7th Ave, Fort Lauderdale, FL 33311-4815 | 2020-02-04 |
| 1013558774 | Gaim Dammer | Behavior Technician | 1180 Park Dr, Fort Lauderdale, FL 33312-7340 | 2019-10-03 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1467014654 | Yusleydis Caraballo Lopez | Behavior Technician | 4491 Sw 52nd Ct Apt 6, Fort Lauderdale, FL 33314-6567 | 2019-07-08 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on SHANNON SMITH.
| 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.