SHANNON BUCKLEY (NPI# 1306383492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306383492 |
| Entity Type | Individual |
| Full Name | SHANNON BUCKLEY |
| Practice Address |
280 Crossways Park Dr Woodbury NY 11797-2015 |
| Mailing Address |
598 Heathcliff Dr Seaford NY 11783-1143 |
| Practice Telephone | 5169381784 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 001007-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429929 | Shannon Buckley | Specialist/Technologist | 900 Rancho San Diego Pkwy, El Cajon, CA 92019-4369 | 2020-08-29 |
| 1316445745 | Shannon Buckley | Counselor | 342 Egg Harbor Rd Ste B, Sewell, NJ 08080-1856 | 2018-01-31 |
| 1205241858 | Shannon Marie Buckley | Counselor | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2014-06-23 |
| Street Address |
280 CROSSWAYS PARK DR |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811220791 | Wendy Mara Shatz | Occupational Therapist | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2009-09-10 |
| 1568822625 | Stephanie Fleischer | Occupational Therapist | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2016-03-02 |
| 1194166314 | Alicia M Elman | Speech-Language Pathologist | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2013-07-16 |
| 1225308471 | Laura K Campagna | Psychologist | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2012-01-05 |
| 1497022206 | Trisha Meredith Pasternack | Psychologist | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2011-11-22 |
| 1346523214 | James L Gabriel | Physical Therapist | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2011-09-27 |
| 1164705927 | Mary Emily Thrall | Social Worker | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2011-09-27 |
| 1669755054 | Livia Murray | Social Worker | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2011-09-22 |
| 1396028601 | Linda Franco | Social Worker | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2011-09-22 |
| 1356623573 | Deborah Axel Goodman | Speech-Language Pathologist | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2011-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245869544 | Maria N Gassner | Behavioral Analyst | 110 S Davis St, Woodbury, NJ 08096-5866 | 2020-04-07 |
| 1932739976 | Jade Aikens | Behavioral Analyst | 896 Moonlight Dr, Woodbury, MN 55125-8535 | 2020-01-17 |
| 1740724236 | Anna Reinhardt Thompson | Behavioral Analyst | 58 Pomperaug Rd, Woodbury, CT 06798-3713 | 2016-12-19 |
| 1538516315 | Terri Zaretzky | Behavioral Analyst | 18 Sparrow Ln, Woodbury, NY 11797-3207 | 2016-05-20 |
| 1104438399 | Gabrielle Ann Pieper | Behavioral Analyst | 731 Bielenberg Dr Ste 102-104, Woodbury, MN 55125-1700 | 2020-08-19 |
| 1386268407 | Marisa Michelle Maslen | Behavioral Analyst | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2020-06-04 |
| 1457975666 | Phillip Corbi | Behavioral Analyst | 58 Pomperaug Rd, Woodbury, CT 06798-3713 | 2020-06-03 |
| 1245868231 | Kelsey Decker | Behavioral Analyst | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2020-03-27 |
| 1346876091 | Rachael Griffin | Behavioral Analyst | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2020-03-13 |
| 1366080889 | Taryn Marie Lee | Behavioral Analyst | 700 Commerce Dr Ste 260, Woodbury, MN 55125-9243 | 2019-12-16 |
| Find all providers in WOODBURY | ||||
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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.