SHANEQUA CLARK (NPI# 1336684679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336684679 |
| Entity Type | Individual |
| Full Name | SHANEQUA CLARK |
| Practice Address |
628 Tinton Ave 3rd Floor P17x @161 Bronx NY 10455 |
| Mailing Address |
30 Ehrbar Ave Apt 409 Mount Vernon NY 10552-3674 |
| Practice Telephone | 7189935642 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
628 TINTON AVE 3RD FLOOR P17X @161 |
| City | BRONX |
| State | NY |
| Zip Code | 10455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780986216 | Marilyn Rodriguez | Speech-Language Pathologist | 628 Tinton Ave, Bronx, NY 10455-3218 | 2010-12-05 |
| 1386187862 | Mildred Corona Padron | Speech-Language Pathologist | 628 Tinton Ave, Bronx, NY 10455-3218 | 2016-12-01 |
| 1962823328 | Urban Health Plan, Inc. | Clinic/Center | 628 Tinton Ave, Bronx, NY 10455-3218 | 2014-01-02 |
| 1134483522 | Michelle Morrison | Specialist | 628 Tinton Ave, Bronx, NY 10455-3218 | 2012-06-29 |
| 1225303241 | Renen Bermudo Samalea | Physical Therapist | 628 Tinton Ave, Bronx, NY 10455-3218 | 2012-03-09 |
| 1093080061 | Waiming Cheung | Occupational Therapist | 628 Tinton Ave, Bronx, NY 10455-3218 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
| 1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
| 1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
| 1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
| 1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
| 1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in zip 10455 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1013576099 | Rhaida Maldonado | Assistant Behavior Analyst | 2284 Grand Ave Apt L, Bronx, NY 10468-6914 | 2019-06-12 |
| 1467917203 | Vontay Byrd | Assistant Behavior Analyst | 1358 Sheridan Ave Apt 4e, Bronx, NY 10456-1357 | 2019-02-06 |
| 1184189284 | Patrick Fitzgerald Lindsey | Assistant Behavior Analyst | 2118 Mapes Ave, Bronx, NY 10460-1271 | 2019-02-04 |
| 1174098305 | Jamila Berma | Assistant Behavior Analyst | 4222 Monticello.ave, Bronx, NY 10466 | 2018-10-03 |
| 1235618638 | Kristal Torres | Assistant Behavior Analyst | 2891 Coddington Ave Fl 2, Bronx, NY 10461-5926 | 2018-08-07 |
| 1215425335 | Gufran Usman | Assistant Behavior Analyst | 1428 Webster Ave Apt 15f, Bronx, NY 10456-1845 | 2018-04-24 |
| 1588199046 | Yvanesa Garcia | Assistant Behavior Analyst | 351 Huntington Avenue, Bronx, NY 10465 | 2017-04-21 |
| 1245770924 | Joalex Jimenez | Assistant Behavior Analyst | 1740 Holland Ave, 1, Bronx, NY 10462-3927 | 2017-03-01 |
| 1194261149 | Keyla J Lahoz Ogando | Assistant Behavior Analyst | 2820 Bailey Ave, 19d, Bronx, NY 10463-7220 | 2017-01-15 |
| 1407391402 | Carlina E Lahoz-ogando | Assistant Behavior Analyst | 2820 Bailey Ave Apt 19d, Bronx, NY 10463 | 2016-12-29 |
| Find all providers in BRONX | ||||
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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.