SHANICE V ANDERSON (NPI# 1316578768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316578768 |
| Entity Type | Individual |
| Full Name | SHANICE V ANDERSON |
| Practice Address |
3229 S Cherokee Ln Ste 1400 Woodstock GA 30188-4461 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 4704992482 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-18 |
| 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 |
| Street Address |
3229 S CHEROKEE LN STE 1400 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-4461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1285233981 | Virginia Ellen Arnold | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-10-22 |
| 1942813365 | Saraven Henderson | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-08-25 |
| 1578171146 | Sean Regan | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-07-20 |
| 1023633575 | Diamond Shelton | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-06-10 |
| 1730714528 | Kecia Martin | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-03-11 |
| 1700411907 | Shannon M Fischer | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-03-08 |
| 1750915153 | Kristen Mae Sweet Gibbs | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-02-25 |
| 1669004453 | Tatiyana-michelle Cooley-justice | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-02-10 |
| 1780227272 | Crystal Caraballo | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| 1952858557 | Tranquility Counseling Services | Clinic/Center | 8744 Main Street, 303, Woodstock, GA 30188 | 2016-09-01 |
| Find all providers in zip 30188 | ||||
| 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 |
|---|---|---|---|---|
| 1548878234 | Teresa Scali | Behavior Technician | 721 Helga Dr Ne, Woodstock, GA 30188-4063 | 2020-07-19 |
| 1417572843 | Maria Gabrieli Jolly | Behavior Technician | 7019 Surrey Dr, Woodstock, GA 30189-6238 | 2020-06-11 |
| 1396387676 | Brittany Bowman | Behavior Technician | 10209 Travis Ct, Woodstock, GA 30188-7887 | 2019-10-08 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1063903706 | Melissa Ernest | Behavior Technician | 2270 Applewood Ln, Woodstock, IL 60098-7485 | 2018-05-29 |
| 1679063747 | Karen Baron | Behavior Technician | 225 Macintosh Ave, Woodstock, IL 60098-7623 | 2018-05-15 |
| 1285233981 | Virginia Ellen Arnold | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-10-22 |
| 1174120778 | Bezawit Liane Busam | Behavior Technician | 3229 S Cherokee Ln, Woodstock, GA 30188-4461 | 2020-10-06 |
| 1053925669 | Rebecca Elizabeth Westin | Behavior Technician | 107 Weatherstone Dr Ste 530, Woodstock, GA 30188-7006 | 2020-09-01 |
| 1942813365 | Saraven Henderson | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188-4461 | 2020-08-25 |
| Find all providers in WOODSTOCK | ||||
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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.