SHANNON RACHAEL PULLEY (NPI# 1174055339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174055339 |
| Entity Type | Individual |
| Full Name | SHANNON RACHAEL PULLEY |
| Practice Address |
4828 Harbor Oaks Way Virginia Beach VA 23455 |
| Mailing Address |
4828 Harbor Oaks Way Virginia Beach VA 23455-1944 |
| Practice Telephone | 7573628388 |
| Practice Fax Number | 3058469711 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-15-06237 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306362199 | Shannon Pulley | Counselor | 1710 E Michigan Ave, Lansing, MI 48912-2825 | 2017-08-14 |
| Street Address |
4828 HARBOR OAKS WAY |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629397997 | Claire Ellis | Behavioral Analyst | 4828 Harbor Oaks Way, Virginia Beach, VA 23455-1944 | 2010-05-25 |
| 1669945655 | Rachel Leigh Polanco | Behavior Technician | 4828 Harbor Oaks Way, Virginia Beach, VA 23455-1944 | 2019-01-02 |
| 1083181697 | Kerri Mast | Behavioral Analyst | 4828 Harbor Oaks Way, Virginia Beach, VA 23455-1944 | 2018-11-01 |
| 1366921991 | Gabriela Zapatero Mcwhorter | Behavioral Analyst | 4828 Harbor Oaks Way, Virginia Beach, VA 23455-1944 | 2018-08-14 |
| 1417442179 | Lauren Nicole Ross | Behavioral Analyst | 4828 Harbor Oaks Way, Virginia Beach, VA 23455-1944 | 2018-06-26 |
| 1679074751 | Cherish Star Gregory | Behavioral Analyst | 4828 Harbor Oaks Way, Virginia Beach, VA 23455-1944 | 2018-02-23 |
| 1881194645 | Mona Rebecca Lentz | Behavioral Analyst | 4828 Harbor Oaks Way, Virginia Beach, VA 23455-1944 | 2018-02-19 |
| 1730698218 | Sunny Genco | Behavioral Analyst | 4828 Harbor Oaks Way, Virginia Beach, VA 23455-1944 | 2017-09-27 |
| 1144748773 | Joseph Byers Smith IIi | Behavioral Analyst | 4828 Harbor Oaks Way, Virginia Beach, VA 23455 | 2017-09-04 |
| 1902324817 | Leah Jo Verkuylen | Behavioral Analyst | 4828 Harbor Oaks Way, Virginia Beach, VA 23455-1944 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| 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 |
|---|---|---|---|---|
| 1639776289 | Georgia Elizabeth Healy | Behavior Technician | 4740 Berrywood Rd, Virginia Beach, VA 23464-5868 | 2020-10-07 |
| 1992311955 | Sara Homer | Behavior Technician | 348 Southport Cir Ste 101, Virginia Beach, VA 23452-1181 | 2020-09-16 |
| 1326677956 | Karina Isabel Braunshausen | Behavior Technician | 5606b Virginia Beach Blvd Ste 103, Virginia Beach, VA 23462-5680 | 2020-04-06 |
| 1407498157 | Tiera Troy | Behavior Technician | 780 Lynnhaven Pkwy Ste 0, Virginia Beach, VA 23452-7332 | 2019-10-15 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1679125330 | Kimberly Brown Lacroix | Behavior Technician | 2307 Oak St, Virginia Beach, VA 23451-1313 | 2019-07-12 |
| 1174083026 | Alexus Chiffon Haley | Behavior Technician | 1350 Pine Cone Cir, Virginia Beach, VA 23453-2708 | 2019-03-25 |
| 1265999254 | Aleksandra Gojkovic | Behavior Technician | 5606 Virginia Beach Blvd Ste 103, Virginia Beach, VA 23462-5631 | 2019-02-26 |
| 1437621521 | Roneka Latifa Scott | Behavior Technician | 1205 Pipers Cres Apt 431, Virginia Beach, VA 23454-4962 | 2018-12-30 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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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.