SHANNON LEE WAGNER (NPI# 1225686538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225686538 |
Entity Type | Individual |
Full Name | SHANNON LEE WAGNER |
Practice Address |
203 Union St Manchester CT 06042-1938 |
Practice Telephone | 8604553629 |
Mailing Telephone | 8604553629 |
Enumeration Date | 2019-08-29 |
Last Update Date | 2019-08-29 |
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 |
---|---|---|---|---|
1538780077 | Shannon Marie Wagner | Counselor | 2310 E Atlantic Blvd Bldg 2, Pompano Beach, FL 33062-5251 | 2020-05-06 |
1255956512 | Shannon Michelle Wagner | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2020-06-12 |
1265073324 | Shannon Dee Wagner | Case Manager/Care Coordinator | 185 N 4th St, Saint Helens, OR 97051-1535 | 2019-09-30 |
1427512854 | Shannon Wagner | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2019-01-30 |
1437624079 | Shannon Wagner | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2018-10-10 |
1871832691 | Shannon Wagner | Speech-Language Pathologist | 125 Ryan Industrial Ct, San Ramon, CA 94583-1772 | 2013-02-14 |
1467590737 | Shannon Wagner | Community/Behavioral Health | 2086 Commerce Ave, Concord, CA 94520-4902 | 2007-02-01 |
Street Address |
203 UNION ST |
City | MANCHESTER |
State | CT |
Zip Code | 06042-1938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
Find all providers in zip 06042 |
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 |
---|---|---|---|---|
1811523707 | Megan Mcdermott | Behavior Technician | 220 Youville St, Manchester, NH 03102-3034 | 2020-03-23 |
1972135085 | Heather Sneed | Behavior Technician | 373 S Willow St Ste 226, Manchester, NH 03103-5751 | 2020-02-06 |
1043852536 | Hannah Lee | Behavior Technician | 664 Mast Rd, Manchester, NH 03102-1429 | 2019-10-16 |
1851941124 | Morgan Katherine Anne Dresch | Behavior Technician | 300 River Bend St, Manchester, MI 48158-9532 | 2019-09-18 |
1497302855 | Ashley Marie Capraro | Behavior Technician | 769 Somerville St Apt 3, Manchester, NH 03103-4535 | 2019-08-21 |
1063065100 | Kelsey Sanders | Behavior Technician | 280 Bodwell Rd, Manchester, NH 03109-5000 | 2019-07-18 |
1194378240 | Kayla Sovie | Behavior Technician | 335 Belmont St, Manchester, NH 03103-4346 | 2019-07-18 |
1417500570 | Robert Tompkins | Behavior Technician | 1163 Island Pond Rd, Manchester, NH 03109-5407 | 2019-07-18 |
1982257127 | Shawna Packard | Behavior Technician | 1583 Belmont St, Manchester, NH 03104-2759 | 2019-07-17 |
1356994578 | Cecilia Martins | Behavior Technician | 435 Cilley Rd Apt B, Manchester, NH 03103-4554 | 2019-07-17 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 06042 |
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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.