SHANNON HENDRICKSON (NPI# 1235604620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235604620 |
| Entity Type | Individual |
| Full Name | SHANNON HENDRICKSON |
| Practice Address |
8200 Professional Pl Ste 115 Landover MD 20785-2293 |
| Practice Telephone | 4433307900 |
| Mailing Telephone | 4433307900 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| 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 |
|---|---|---|---|---|
| 1629510169 | Shannon Leah Hendrickson | Psychologist | 2620 N 140th Ave Ste 101, Goodyear, AZ 85395-2437 | 2016-11-15 |
| 1073649919 | Shannon Jane Hendrickson | Counselor | 151 Mystic Ave, Medford, MA 02155-4632 | 2007-02-26 |
| Street Address |
8200 PROFESSIONAL PL STE 115 |
| City | LANDOVER |
| State | MD |
| Zip Code | 20785-2293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922507748 | Myla Fevrier Jones | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2018-02-07 |
| 1083212401 | Morgan Bowen | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-16 |
| 1437757853 | Renee Nario | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-16 |
| 1033717491 | Kaniece Janee Bowditch | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-16 |
| 1790383396 | Kamryn Monet Watkins | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-15 |
| 1457959504 | Gabriel E Cruz | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-12 |
| 1568069995 | Sean Henderson-lowery | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-08 |
| 1265039481 | Aminata Diallo | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-01 |
| 1770190431 | Cynthia Mercado-saavedra | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-09-28 |
| 1528675295 | Ida Seyedzare | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908067 | Alaina Paulette Ford-reese | Counselor | 95 Office Park 1895 Brightseat, Landover, MD 20785 | 2020-07-02 |
| 1578186912 | Afshan Rehman | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Family Health and Wellness Center, Cheverly, MD 20785 | 2020-05-20 |
| 1235751710 | Anila Rani | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, 5th Floor, University of Maryland Prince George Hospital Center De, Cheverly, MD 20785 | 2020-05-07 |
| 1568083715 | Sonia Haider | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane 3rd Floor, Cheverly, MD 20785 | 2020-04-29 |
| 1851938138 | The Foundation Schools, Inc. | Local Education Agency (LEA) | 855 Brightseat Road, Suite 855, Landover, MD 20785 | 2019-12-05 |
| 1104480268 | Sohaib Siddiqui | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Cheverly, MD 20785 | 2019-04-24 |
| 1386115558 | Tameka Drummond | Speech-Language Pathologist | 1401 Nalley Terrace, Hyattsville, MD 20785 | 2018-12-16 |
| 1427528223 | Tambra M Johnson | Occupational Therapist | [email protected], 2300 Belleview Ave, Cheverly, Md 20785, Cheverly, MD 20785 | 2018-12-05 |
| 1417427097 | Bukola B Muritala | Home Health Aide | 6313 Landover Rd Apt 301, Cheverly, MD 20785 | 2018-11-27 |
| 1073091104 | Ursula Cerro | Counselor | 903 Brightseat Road, Landover, MD 20785 | 2018-07-31 |
| Find all providers in zip 20785 | ||||
| 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 |
|---|---|---|---|---|
| 1922507748 | Myla Fevrier Jones | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2018-02-07 |
| 1083212401 | Morgan Bowen | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-16 |
| 1437757853 | Renee Nario | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-16 |
| 1033717491 | Kaniece Janee Bowditch | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-16 |
| 1790383396 | Kamryn Monet Watkins | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-15 |
| 1457959504 | Gabriel E Cruz | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-12 |
| 1568069995 | Sean Henderson-lowery | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-08 |
| 1265039481 | Aminata Diallo | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-10-01 |
| 1770190431 | Cynthia Mercado-saavedra | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-09-28 |
| 1528675295 | Ida Seyedzare | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2020-09-28 |
| Find all providers in LANDOVER | ||||
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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.