ANNA ELIZABETH SHAW (NPI# 1417574849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417574849 |
| Entity Type | Individual |
| Full Name | ANNA ELIZABETH SHAW |
| Credential | BS |
| Practice Address |
4150 Deputy Bill Cantrell Memorial Rd Suite T200 Cumming GA 30040-3002 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 4708393041 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-111721 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669957700 | Anna Mishael Shaw | Pharmacist | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2018-09-25 |
| 1164836961 | Anna Shaw | Community Health Worker | 101 N Franklin St, Fort Bragg, CA 95437-3602 | 2014-06-19 |
| 1265763676 | Anna Shaw | Nurse Practitioner | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 | 2010-01-25 |
| 1275868598 | Anna Meredith Shaw | Nurse Practitioner | 1535 Vann Dr, Jackson, TN 38305 | 2009-10-04 |
| Street Address |
4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396795241 | Simon Robert Cofrancesco | Internal Medicine | 4150 Deputy Bill Cantrell Memorial Rd, Suite 290, Cumming, GA 30040-3005 | 2006-05-11 |
| 1376140228 | Ravin Tyra Cato | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-10-05 |
| 1811594864 | Brittney Grace Eubanks | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-10-02 |
| 1275130221 | Emily Wynn Dowling | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-10-02 |
| 1295342095 | Rachel Joan Thurston | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-09-25 |
| 1396352209 | James Caleb Burnett | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-09-24 |
| 1831704378 | Jalyn Cimone Bennett | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-09-11 |
| 1427663087 | Araceli Campa-reyes | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-09-10 |
| 1679188288 | Manuela Molina-palacio | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-09-10 |
| 1407460314 | Skylar Marie Fields | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| 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 |
|---|---|---|---|---|
| 1558984419 | Joseph Phillip Mcclendon | Behavior Technician | 410 Peachtree Pkwy Bldg 410, Cumming, GA 30041-7066 | 2020-05-26 |
| 1871124198 | Amy Katherine Tatum | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Road, Suite T200, Cumming, GA 30040-3002 | 2020-01-27 |
| 1306481635 | Shaneile Anmarie Campbell | Behavior Technician | 410 Peachtree Pkwy Ste 400, Cumming, GA 30041-7066 | 2019-11-11 |
| 1790345544 | Devin Roger Mathews | Behavior Technician | 5595 Ranch Dr, Cumming, GA 30041-4249 | 2019-06-14 |
| 1356806087 | Macy Davidson | Behavior Technician | 1664 Market Place Blvd Ste 100, Cumming, GA 30041-7927 | 2019-02-06 |
| 1508321654 | Candis A Hughes | Behavior Technician | 1664 Market Place Blvd Ste 101, Cumming, GA 30041-7927 | 2019-02-03 |
| 1376140228 | Ravin Tyra Cato | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-10-05 |
| 1811594864 | Brittney Grace Eubanks | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-10-02 |
| 1275130221 | Emily Wynn Dowling | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-10-02 |
| 1295342095 | Rachel Joan Thurston | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-09-25 |
| Find all providers in CUMMING | ||||
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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.