SHANNON FITZGERALD (NPI# 1316583826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316583826 |
| Entity Type | Individual |
| Full Name | SHANNON FITZGERALD |
| Practice Address |
6458 City West Pkwy Eden Prairie MN 55344-3245 |
| Practice Telephone | 9527675900 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| 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 |
|---|---|---|---|---|
| 1730709486 | Shannon Kelly Fitzgerald | Registered Nurse | 1001 Main St Ste K-3502, Buffalo, NY 14203-1009 | 2020-04-23 |
| 1881229680 | Shannon Marie Fitzgerald | Social Worker | 12 Market Sq Apt 2, Amesbury, MA 01913-2442 | 2020-03-12 |
| 1922470475 | Shannon Fitzgerald | Behavioral Analyst | 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 | 2015-10-23 |
| 1356717607 | Shannon Bridget Fitzgerald | Nurse Practitioner | 4849 William Flynn Hwy, Allison Park, PA 15101-2319 | 2015-08-20 |
| 1821415936 | Shannon L. Fitzgerald | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-03-26 |
| 1942562095 | Shannon Marie Fitzgerald | Early Intervention Provider Agency | 597 3rd Ave, Troy, NY 12182-2509 | 2012-06-14 |
| 1033362595 | Shannon Marie Fitzgerald | Counselor | 44443 10th St W, Lancaster, CA 93534-3324 | 2008-10-28 |
| 1326012246 | Shannon Fitzgerald | Dietitian, Registered | 29000 Center Ridge Rd, Sjws Dietary Services, Westlake, OH 44145 | 2006-02-15 |
| 1780674200 | Shannon Marie Fitzgerald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-10-26 |
| Street Address |
6458 CITY WEST PKWY |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457565228 | Kristine Marie Wilson | Occupational Therapy Assistant | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2007-05-10 |
| 1124631742 | Christa Rose Erickson | Marriage & Family Therapist | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-08-24 |
| 1083247241 | Stephanie Sylvester | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-02-17 |
| 1497386460 | Emma Nystadius | Counselor | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-01-29 |
| 1194355875 | Nikhita Sandesh | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-01-22 |
| 1841837226 | Jillian Steen | Speech-Language Pathologist | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-12-05 |
| 1871139386 | Tierra Davis | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-11-19 |
| 1962046698 | Brittany Berres | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-11-06 |
| 1174166961 | Emily Kinas | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-10-24 |
| 1083257877 | Hannah Slater | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| 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 |
|---|---|---|---|---|
| 1720686660 | Roda Mahamoud | Behavior Technician | 12790 Primrose Ln Apt 103, Eden Prairie, MN 55344-7632 | 2020-10-13 |
| 1083247241 | Stephanie Sylvester | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-02-17 |
| 1194355875 | Nikhita Sandesh | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-01-22 |
| 1871139386 | Tierra Davis | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-11-19 |
| 1962046698 | Brittany Berres | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-11-06 |
| 1174166961 | Emily Kinas | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-10-24 |
| 1083257877 | Hannah Slater | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-10-24 |
| 1275176943 | Kori Remer | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344 | 2019-10-24 |
| 1588207393 | Karly Holt | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-10-24 |
| 1669015475 | Teghan Anne Norman | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-10-24 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
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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.