SHELBY LYNN SMITH (NPI# 1467929257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467929257 |
| Entity Type | Individual |
| Full Name | SHELBY LYNN SMITH |
| Practice Address |
56 Gaymore Rd Port Jefferson Station NY 11776-1353 |
| Mailing Address |
225 Broadhollow Rd Melville NY 11747-4822 |
| Practice Telephone | 6319910543 |
| Mailing Telephone | 6313857780 |
| Mailing Fax Number | 6468395781 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| 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 |
|---|---|---|---|---|
| 1790304939 | Shelby Ann Smith | Behavioral Analyst | 1161 Main St, Jenkins Township, PA 18640-1557 | 2020-04-08 |
| 1184164782 | Shelby Lynn Smith | Specialist/Technologist | 6035 Radio Station Rd, La Plata, MD 20646-3369 | 2017-03-01 |
| 1659736809 | Shelby Deason Smith | Counselor | 300 Erin Ave Apt 4, Monroe, LA 71201-4606 | 2015-12-15 |
| 1073744280 | Shelby Colquitt Smith | Nurse Practitioner | 6308 Adams Park Dr, Columbus, GA 31909-3528 | 2009-08-05 |
| 1437285038 | Shelby Allen Smith | Family Medicine | 3850 S. National Ave, #520, Springfield, MO 65807-5230 | 2007-02-26 |
| 1093752123 | Shelby K Smith | Chiropractor | 1568 Southlake Pkwy Ste B, Morrow, GA 30260 | 2006-05-31 |
| 1700882784 | Shelby J. Smith | Dentist | 2213 Buchanan Rd, Ste 112, Antioch, CA 94509-4265 | 2005-06-23 |
| 1114554078 | Shelby Smith | Orthopaedic Surgery | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-03-23 |
| 1639720287 | Shelby Denise Smith | Counselor | 605 W Oxford Ave, Enid, OK 73701-1208 | 2019-09-25 |
| 1639729510 | Shelby Smith | Speech-Language Pathologist | 101 Kirkland St, Union, MS 39365-3205 | 2019-09-12 |
| Street Address |
56 GAYMORE RD |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| 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 |
|---|---|---|---|---|
| 1265979702 | Paul Young I | Behavior Technician | 7 Atlantic Ave, Port Jefferson Station, NY 11776-2107 | 2017-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861610 | Abigail Elangovan | Behavior Technician | 8 The Pl, Glen Cove, NY 11542-2489 | 2020-11-05 |
| 1225639404 | Kareen Brown | Behavior Technician | 1902 149th St # R, Whitestone, NY 11357-3116 | 2020-11-04 |
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1184223729 | Fabienne Noreva Nelson | Behavior Technician | 116 Fillmore Ave, Deer Park, NY 11729-7004 | 2020-10-24 |
| 1932708807 | Shiga Sunny | Behavior Technician | 247 Jericho Tpke, New Hyde Park, NY 11040-4516 | 2020-10-22 |
| 1649878877 | Diamond White | Behavior Technician | 40 Lorraine Ave Apt 3b, Mount Vernon, NY 10553-1254 | 2020-10-09 |
| 1376141663 | Shenissa M Hyde | Behavior Technician | 2765 Matthews Ave Apt 5a, Bronx, NY 10467-8620 | 2020-10-09 |
| 1346847928 | Tamika Rodriguez | Behavior Technician | 4317 162nd St Apt 3, Flushing, NY 11358-3107 | 2020-10-06 |
| 1750998027 | Jill Terry | Behavior Technician | 9 Benedict Ln, New Windsor, NY 12553-8632 | 2020-09-30 |
| 1205443744 | Alina Fedorov | Behavior Technician | 457 Adams Ave, Staten Island, NY 10306-5422 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on SHELBY LYNN SMITH.
| 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.