SHANNON MATTHEWS (NPI# 1538575220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538575220 |
| Entity Type | Individual |
| Full Name | SHANNON MATTHEWS |
| Credential | BCBA |
| Practice Address |
44 Commerce Rd Stamford CT 06902-4561 |
| Practice Telephone | 8589269275 |
| Mailing Telephone | 8589269275 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-13-12876 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023518586 | Shannon Matthews | Behavior Technician | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2018-02-20 |
| 1689087066 | Shannon Matthews | Occupational Therapist | 508 Blount Ave, Guntersville, AL 35976-1502 | 2014-06-03 |
| 1427494152 | Shannon Marie Matthews | Emergency Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1295 | 2013-05-21 |
| 1710296033 | Shannon Christine Matthews | Registered Nurse | 405 W 5th St, Santa Ana, CA 92701-4599 | 2010-10-04 |
| Street Address |
44 COMMERCE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790038206 | Keara Conway | Psychologist | 44 Commerce Rd, Stamford, CT 06902-4561 | 2012-10-22 |
| 1467868364 | Greenwich Education Group | Counselor | 44 Commerce Rd, Stamford, CT 06902-4561 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| 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 |
|---|---|---|---|---|
| 1750942348 | Daniel M. Ferman | Behavioral Analyst | 98 Hoyt St Apt 5l, Stamford, CT 06905-5709 | 2019-06-24 |
| 1538643960 | Ksm Behavioral Services, LLC | Behavioral Analyst | 1867 Summer St Fl 3, Stamford, CT 06905-5016 | 2018-09-21 |
| 1184134181 | Indrani Bagchi | Behavioral Analyst | 207 Barncroft Rd, Stamford, CT 06902-1207 | 2017-10-04 |
| 1104293414 | Kara Santiago | Behavioral Analyst | 180 Broad St Apt 1206, Stamford, CT 06901-2077 | 2015-08-24 |
| 1962888263 | Michael R Toto | Behavioral Analyst | 284 Glenbrook Rd, Stamford, CT 06906-2517 | 2015-08-10 |
| 1346674348 | Nancy Revangil | Behavioral Analyst | 46 Grant Ave, Stamford, CT 06902-4128 | 2013-08-26 |
| 1962842930 | Tatiana Wachsmuth | Behavioral Analyst | 19 Pinewood Rd, Stamford, CT 06903-2522 | 2013-07-04 |
| 1336499748 | Danielle Daure | Behavioral Analyst | 202 Soundview Ave Unit 51, Stamford, CT 06902-7046 | 2012-09-12 |
| 1902888449 | Easter Seals Connecticut Inc. | Behavioral Analyst | 733 Summer St, Stamford, CT 06901-1081 | 2005-11-18 |
| 1720689151 | Natasha Alexandra Kodiak | Behavioral Analyst | 1011 High Ridge Rd, Stamford, CT 06905-1610 | 2020-11-03 |
| Find all providers in STAMFORD | ||||
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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.