SHANNON BOYLE (NPI# 1154975548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154975548 |
| Entity Type | Individual |
| Full Name | SHANNON BOYLE |
| Practice Address |
3101 Lathrop St Fairbanks AK 99701-7426 |
| Practice Telephone | 9074594700 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| 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 |
|---|---|---|---|---|
| 1659804441 | Shannon Renee Boyle | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 284, Minneapolis, MN 55455-0341 | 2017-04-07 |
| 1699078881 | Shannon Boyle | Counselor | 4155 E Jewell Ave, Ste 400b, Denver, CO 80222-4504 | 2010-12-10 |
| Street Address |
3101 LATHROP ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-7426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609088491 | Ted Campbell | Counselor | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2007-05-04 |
| 1164029161 | Amanda Young | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-03 |
| 1699372623 | Iesha Nicole Little-robinson | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-02 |
| 1730786765 | Victor Ramon Pichardo Nunez | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-02 |
| 1467059493 | Alissa Merrily Allen | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-02 |
| 1053918078 | Abigail Scott | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-02 |
| 1326657412 | Eric Enlow | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-07-24 |
| 1659980746 | Alisha Gail | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-07-24 |
| 1467061564 | Anjoli D. Anderson | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-07-24 |
| 1609485796 | Brionna Leigh Yannello | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| 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 |
|---|---|---|---|---|
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1831708932 | Bessie Ann Olney | Behavior Technician | 996 Eastwood Ln, Fairbanks, AK 99712-2138 | 2020-07-24 |
| 1851916480 | Zachary Vehmeier | Behavior Technician | 831 3rd Ave, Fairbanks, AK 99701-4456 | 2020-06-09 |
| 1912548074 | Leila Mecklenburg | Behavior Technician | 1976 September Ct, Fairbanks, AK 99709-6274 | 2019-09-30 |
| 1295376358 | Angela Nicole Byrd | Behavior Technician | 1600 Washington Dr Apt A3, Fairbanks, AK 99709-5006 | 2019-09-30 |
| 1851949614 | Bhawana Ghimire | Behavior Technician | 3010 Davis Rd Apt B44, Fairbanks, AK 99709-6905 | 2019-08-26 |
| 1801440730 | Lakesha Renee Nunley | Behavior Technician | 4761 Glasgow Dr, Fairbanks, AK 99709-2911 | 2019-07-29 |
| 1073167128 | Paris C Barnes-olson | Behavior Technician | 1700 Willow St Apt 8, Fairbanks, AK 99709-4185 | 2019-07-26 |
| 1992357081 | Alejandrina Maria Mallet | Behavior Technician | 772 Karluk Ct, Fairbanks, AK 99701-1407 | 2019-07-10 |
| 1710494653 | Julie A Chavez | Behavior Technician | 102 Allegheny Way, Fairbanks, AK 99709-3026 | 2017-12-31 |
| Find all providers in FAIRBANKS | ||||
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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.