SALLY ANN SHAW (NPI# 1174137863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174137863 |
| Entity Type | Individual |
| Full Name | SALLY ANN SHAW |
| Practice Address |
3699 Miles Rd. Jackson MI 49201 |
| Practice Telephone | 5179624861 |
| Mailing Telephone | 5179624861 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| 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 |
|---|---|---|---|---|
| 1881931137 | Sally Shaw | Acupuncturist | 401 Kamakee St Ste 310, Honolulu, HI 96814-4243 | 2013-01-07 |
| 1215069455 | Sally Erin Shaw | Registered Nurse | 9333 Tech Center Dr Ste 800, Sacramento, CA 95826-2586 | 2007-03-12 |
| Street Address |
3699 MILES RD. |
| City | JACKSON |
| State | MI |
| Zip Code | 49201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| 1255715702 | Athletico Ltd | Physical Therapist | 2973 Springport Road, Jackson, MI 49201 | 2015-07-15 |
| Find all providers in zip 49201 | ||||
| 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 |
|---|---|---|---|---|
| 1235748013 | Joshua Khon | Behavior Technician | 916 N West Ave, Jackson, MI 49202-3243 | 2020-07-28 |
| 1154946275 | Mark Truman Read | Behavior Technician | 950 W Monroe St Ste G600, Jackson, MI 49202-2171 | 2020-06-15 |
| 1144863986 | Cindy Lynn Ward | Behavior Technician | 1029 N Main St Apt 17, Jackson, CA 95642-9585 | 2019-10-24 |
| 1023660446 | Tamisha Nicole Etchison | Behavior Technician | 916f N West Ave Ste F, Jackson, MI 49202-3269 | 2019-07-16 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1588154413 | Robin Mccollough Smith | Behavior Technician | 295 Rancher St Apt 4, Jackson, WY 83001-8052 | 2018-05-16 |
| 1336655349 | Karen Horton | Behavior Technician | 425 Dalton Rd, Jackson, MI 49201-8828 | 2017-12-28 |
| 1508396862 | Renita D Reed | Behavior Technician | 1301 Jones Ave, Jackson, MS 39204-2737 | 2017-06-19 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1891233698 | Shannon Hill | Behavior Technician | 16764 Climax Rd, Jackson, CA 95642-9409 | 2017-02-01 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on SALLY ANN SHAW.
| 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.