SHELLEY RENEE BURBANK (NPI# 1568960300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568960300 |
| Entity Type | Individual |
| Full Name | SHELLEY RENEE BURBANK |
| Credential | BCBA |
| Practice Address |
4390 Vesta Dr Helena MT 59602-6577 |
| Practice Telephone | 9079808219 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| 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 |
| Street Address |
4390 VESTA DR |
| City | HELENA |
| State | MT |
| Zip Code | 59602-6577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819868 | Jacob Kreamer | Pharmacist | 3195 E Custer Ave, Helena, MT 59602 | 2018-08-06 |
| 1013364819 | Sierra Richmond | Physical Therapist | 3345 Colton Dr Ste A, Helena, MT 59602 | 2016-05-21 |
| 1932556065 | First Words Speech and Language Clinic | Speech-Language Pathologist | 3774 Juliet Drive, Helena, MT 59602 | 2016-05-18 |
| 1568837730 | Leigh Fahlquist, LLC | Community/Behavioral Health | 1159 Toucan Rd., Helena, MT 59602 | 2015-12-14 |
| 1467824912 | Coordicare Inc | Clinic/Center | 1223 Stetson Rd, Helena, MT 59602 | 2015-10-23 |
| 1659675197 | Jesse Miller Mumford Heidi | Social Worker | 3240 Dredge Dr., Helena, MT 59602 | 2010-12-24 |
| 1194988543 | Jonathan Spencer Griffin | Family Medicine | 1223 Stetson Rd., Helena, MT 59602 | 2008-07-07 |
| 1568688976 | Tammie R. Espenlaub | Nurse Practitioner | 2029 9th Ave, Suite 1, Helena, MT 59602 | 2007-04-17 |
| 1780704528 | Barbara Jean Bayer | Acupuncturist | 3404 Cooney Dr, Bldg #2, Helena, MT 59602 | 2007-03-29 |
| 1023134293 | Brian W Abbott | Neuromusculoskeletal Medicine & OMM | 3150 N Montana Ave Ste A, Helena, MT 59602 | 2007-03-21 |
| Find all providers in zip 59602 | ||||
| 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 |
|---|---|---|---|---|
| 1760905970 | Abigail L Mccromick-hinojosa | Behavioral Analyst | 407 E King Street East, Helena, MT 59635 | 2017-07-19 |
| 1851743041 | Glenda Jo Truesdell | Behavioral Analyst | 3326 Evening Star Dr, Helena, MT 59602-6064 | 2016-07-12 |
| 1952683336 | Jackie F Mohler | Behavioral Analyst | 1212 Helena Ave, Helena, MT 59601-2948 | 2011-09-13 |
| 1447300132 | Region Iv Family Outreach, Inc | Behavioral Analyst | 1236 Helena Ave, Helena, MT 59601-2948 | 2007-01-12 |
| 1851918288 | Caitlin Walsh | Behavioral Analyst | 1212 Helena Ave, Helena, MT 59601-2948 | 2020-07-01 |
| 1326542432 | David Bristow | Behavioral Analyst | 1236 Helena Ave, Helena, MT 59601-2948 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847779 | Kimberly Kay Bredberg-beaner | Behavioral Analyst | 2200 Box Elder St Ste 151, Miles City, MT 59301-5930 | 2020-10-08 |
| 1851918296 | Candice Nichole Maurer | Behavioral Analyst | 202 E Lewis St, Livingston, MT 59047-3115 | 2020-07-01 |
| 1316561830 | Community, Counseling & Correctional Services, Inc. | Behavioral Analyst | 471 E Mercury St, Butte, MT 59701-1906 | 2020-06-01 |
| 1023574670 | Lyn Marie Ireland | Behavioral Analyst | 1725 Mt Highway 35, Kalispell, MT 59901-2464 | 2019-02-19 |
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1326538869 | Paul Duncil Jr. | Behavioral Analyst | 6088 Hazelwood Dr, Billings, MT 59106-9547 | 2018-05-10 |
| 1790224988 | Big Sky Behavioral Therapy, Pllc. | Behavioral Analyst | 3170 Two Moons Rd., Big Sky, MT 59716-0771 | 2017-02-21 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| 1750831533 | Marie Middleton | Behavioral Analyst | 1722 Defoe St, Missoula, MT 59802-1915 | 2016-10-05 |
| 1194182899 | Cristin Peiffer | Behavioral Analyst | 554 Pronghorn Trl Ste A, Bozeman, MT 59718-6082 | 2016-01-26 |
| Find all providers with the same taxonomy | ||||
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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.