SHANTA DORSEY (NPI# 1366910929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366910929 |
| Entity Type | Individual |
| Full Name | SHANTA DORSEY |
| Credential | MA |
| Practice Address |
4950 San Bernardino St Montclair CA 91763-2328 |
| Mailing Address |
1154 E 36th St San Bernardino CA 92404-1812 |
| Practice Telephone | 8007491965 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
4950 SAN BERNARDINO ST |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285620443 | William Tsai | Family Medicine | 4950 San Bernardino St, #218, Montclair, CA 91763-2328 | 2005-09-23 |
| 1326648239 | Anthony Ramirez | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2020-10-29 |
| 1629626486 | Tahitia Randolph | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2019-08-26 |
| 1649827270 | Emery Brautigan | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2019-08-19 |
| 1366099038 | Evelyn Landa | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2019-08-19 |
| 1689132888 | Jessica Franco-casillas | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2019-03-06 |
| 1538631627 | Alexandrea Pablo | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-12-30 |
| 1598235970 | Alysha Mays | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-11-28 |
| 1376013755 | Stephanie Zavala | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-11-28 |
| 1457821837 | Stacie Forrest | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| 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 |
|---|---|---|---|---|
| 1871099689 | American Therapy House | Behavioral Analyst | 4959 Palo Verde St Ste 105c, Montclair, CA 91763-2359 | 2018-04-02 |
| 1053841049 | Jill Laurie Saxon | Behavioral Analyst | 105 Grove St Ste 17, Montclair, NJ 07042-4053 | 2017-06-13 |
| 1134673205 | Henry Schlinger | Behavioral Analyst | 9017 Sycamore Ave, Suite 216, Montclair, CA 91763-1565 | 2016-08-06 |
| 1063884484 | Barbara Wolf | Behavioral Analyst | 15452 Silvan Glen Dr, Montclair, VA 22025-1012 | 2015-10-25 |
| 1508268038 | Kelly Archibald | Behavioral Analyst | 415 Claremont Ave Apt 5h, Montclair, NJ 07042-1800 | 2014-09-16 |
| 1679814289 | Amanda Jane Bernard | Behavioral Analyst | 413 Bloomfield Ave, Apt C, Montclair, NJ 07042-3572 | 2013-03-06 |
| 1891256988 | Michael George Reynolds | Behavioral Analyst | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-03-29 |
| 1629549894 | Dianni Faith Hall | Behavioral Analyst | 80 Park Street, Montclair, NJ 07042 | 2018-12-16 |
| 1285172049 | Kristen Jaworski | Behavioral Analyst | 31 Trinity Pl, Apartment 14, Montclair, NJ 07042-2773 | 2017-02-01 |
| 1114462264 | Institute for Social Skills, Inc. | Behavioral Analyst | 9017 Sycamore Ave, #216, Montclair, CA 91763-1565 | 2016-12-28 |
| Find all providers in MONTCLAIR | ||||
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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.