SHELBY CROCKER (NPI# 1578174579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578174579 |
| Entity Type | Individual |
| Full Name | SHELBY CROCKER |
| Credential | RBT |
| Practice Address |
146 Timber Creek Dr Ste 101 Cordova TN 38018-4396 |
| Practice Telephone | 6513411858 |
| Mailing Telephone | 6513411858 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-125442 | TN | Behavioral Health & Social Service Providers |
| Street Address |
146 TIMBER CREEK DR STE 101 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225116692 | Laura Simmons Martin | Speech-Language Pathologist | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4234 | 2006-11-01 |
| 1225649221 | Abby Ray | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-08-12 |
| 1689285686 | Jasmine Bady | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-08-12 |
| 1851902852 | Emily Harkess | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-08-12 |
| 1588275580 | Mariana Cruz Cobain | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-08-12 |
| 1205447208 | Shantelsa L Gladney | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-08-12 |
| 1295346294 | Crystal Edmonds | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-08-12 |
| 1568085769 | Victoria Hutchinson | Behavioral Analyst | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-05-21 |
| 1245764927 | Cultivate Tennessee, LLC | Behavioral Analyst | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2017-04-19 |
| 1083084842 | Keenan Luster | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| 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 |
|---|---|---|---|---|
| 1376143289 | Rachel Slovsky | Behavior Technician | 8350 Walnut Grove Rd, Cordova, TN 38018-7392 | 2020-10-29 |
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1912478884 | Cheryl Plummer | Behavior Technician | 8500 Walnut Grove Rd, Cordova, TN 38018-7392 | 2018-12-17 |
| 1811498371 | Erica Delon Thomas-hill | Behavior Technician | 970 Hunters Point Dr, Cordova, TN 38018-5875 | 2018-02-21 |
| 1528669009 | Shayconna Miller | Behavior Technician | 8350 Walnut Grove Rd, Cordova, TN 38018-7392 | 2020-11-02 |
| 1972116572 | Lillyen Lambert | Behavior Technician | 8500 Walnut Grove Rd, Cordova, TN 38018-7392 | 2020-08-25 |
| 1225649221 | Abby Ray | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-08-12 |
| 1689285686 | Jasmine Bady | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-08-12 |
| 1851902852 | Emily Harkess | Behavior Technician | 146 Timber Creek Dr Ste 101, Cordova, TN 38018-4396 | 2020-08-12 |
| Find all providers in CORDOVA | ||||
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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.