MS. SHANNON LEIGH WYNNE (NPI# 1417441627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417441627 |
| Entity Type | Individual |
| Full Name | MS. SHANNON LEIGH WYNNE |
| Credential | BCBA |
| Practice Address |
110 Carlton St Athens GA 30602-5004 |
| Mailing Address |
110 Pinyon Pine Cir Apt 1101 Athens GA 30606-5690 |
| Practice Telephone | 7708272410 |
| Mailing Telephone | 7708272410 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-30139 | GA | Behavioral Health & Social Service Providers |
| Street Address |
110 CARLTON ST |
| City | ATHENS |
| State | GA |
| Zip Code | 30602-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588694897 | Carol Ann Raymond | Speech-Language Pathologist | 110 Carlton St, Athens, GA 30602-5004 | 2006-07-03 |
| 1710295936 | Albert R De Chicchis | Audiologist | 110 Carlton St, Aderhold Hall 516, Athens, GA 30602-5004 | 2010-09-22 |
| 1508059452 | Alisa Norris Schultz | Speech-Language Pathologist | 110 Carlton St, Uga Speech & Hearing Clinic, Athens, GA 30602-5004 | 2007-08-23 |
| 1760688709 | Suneeti Nathani Iyer | Speech-Language Pathologist | 110 Carlton St, Athens, GA 30602-5004 | 2007-06-26 |
| 1952428997 | Jessica Richardson | Speech-Language Pathologist | 110 Carlton St, Athens, GA 30602-5004 | 2007-03-23 |
| 1285735316 | Nancy Broadhurst Dellaria | Speech-Language Pathologist | 110 Carlton St, Athens, GA 30602-5004 | 2006-09-25 |
| 1376640557 | Board of Regents of The University System of Georgia | Speech-Language Pathologist | 110 Carlton St, Athens, GA 30602-5004 | 2006-09-20 |
| 1952418634 | Sue Fillingim Ford | Speech-Language Pathologist | 110 Carlton St, Athens, GA 30602-5004 | 2006-08-25 |
| 1740292101 | Alice Mary Sanderson | Audiologist | 110 Carlton St, Athens, GA 30602-5004 | 2006-08-13 |
| 1669484150 | Holly Sue Kaplan | Audiologist | 110 Carlton St, Athens, GA 30602-5004 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380719 | Courtney Vickery | Dietitian, Registered | Dw Brooks Dr, Athens, GA 30602 | 2020-06-12 |
| 1891979803 | Psychology Clinic | Psychologist | 139 Psychology Bldg., The University of Georgia, Athens, GA 30602 | 2007-12-27 |
| 1902008188 | A. Michele Lease | Psychologist | 630 Aderhold Hall, University of Georgia, Athens, GA 30602 | 2007-06-01 |
| 1992881841 | Uga Speech and Hearing | Audiologist | 593 Aderhold Hall, Athens, GA 30602 | 2006-10-31 |
| 1437702453 | Anna Catherine Jessup | Specialist/Technologist | 330 River Rd, Athens, GA 30602 | 2019-07-18 |
| 1598072845 | Kendra Cordero Nelson | Physical Therapist | 370 River Road, Athens, GA 30602 | 2010-09-08 |
| 1104013150 | Kellie L Bauer | Speech-Language Pathologist | 593 Aderhold Hall, University of Georgia Speech and Hearing Clinic, Athens, GA 30602 | 2007-10-03 |
| 1699322271 | Michael Comeaux Jr. | Specialist/Technologist | 518 Dw Brooks Drive, Athens, GA 30602-0001 | 2019-08-20 |
| 1942852835 | Megha Danielle Sequeira | Specialist/Technologist | 330 Ramsey Road, Athens, GA 30602-0001 | 2019-07-11 |
| 1124688650 | Earl R. Cooper | Specialist/Technologist | 330 River Road 371 Ramsey Center 371 Ramsey Center, Athens, GA 30602-0001 | 2019-06-17 |
| Find all providers in zip 30602 | ||||
| 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 |
|---|---|---|---|---|
| 1003477282 | Anna Leigh Burgdorf | Behavioral Analyst | 150 Westpark Dr Apt 904, Athens, GA 30606-7500 | 2019-06-27 |
| 1245790518 | Lacey Cairistin Ray | Behavioral Analyst | 509 Edgewood Dr, Athens, GA 30606-6534 | 2019-03-22 |
| 1700352242 | Uga Applied Behavior Analysis Clinic | Behavioral Analyst | 546 Aderhold Hall, Athens, GA 30602-0001 | 2018-10-23 |
| 1083109508 | Rachel R Cagliani | Behavioral Analyst | 513 Aderhold Hall, Athens, GA 30663 | 2018-06-27 |
| 1174017115 | Kevin Michael Ayres | Behavioral Analyst | 513 Aderhold Hall University of Georgia, Athens, GA 30602-0001 | 2018-06-21 |
| 1932551736 | Carolyn Esposito Stephens | Behavioral Analyst | 165 Raintree Ct, Athens, GA 30607-2111 | 2016-07-06 |
| 1770939480 | Holly Crabtree Cooper | Behavioral Analyst | 16953 Bellewood Dr, Athens, AL 35613-6861 | 2016-05-11 |
| 1467855288 | Erin Loper | Behavioral Analyst | 812 E Clinton Ave, Athens, TX 75751-2909 | 2014-10-07 |
| 1255730271 | Courtney Grantham | Behavioral Analyst | 18266 Circle Dr, Athens, AL 35613-5950 | 2014-08-14 |
| 1134415102 | Jonas A Jenkins | Behavioral Analyst | 2505 W Broad St, Apt 426, Athens, GA 30606-3412 | 2011-06-28 |
| Find all providers in ATHENS | ||||
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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.