RICHARD LOGAN SHIRLEY (NPI# 1619509189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619509189 |
Entity Type | Individual |
Full Name | RICHARD LOGAN SHIRLEY |
Practice Address |
145 E Edgewood Dr Lakeland FL 33803-4014 |
Practice Telephone | 8636192809 |
Mailing Telephone | 8636192809 |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-02-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | RBT-20-112091 | FL | Behavioral Health & Social Service Providers |
Street Address |
145 E EDGEWOOD DR |
City | LAKELAND |
State | FL |
Zip Code | 33803-4014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760627905 | Applied Behavioral Learning Experiences, Inc | Clinic/Center | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2008-12-02 |
1184223380 | Michael A Davis | Behavioral Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-10-20 |
1558969907 | Jenny Pimienta Guillermes | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-10-16 |
1710593314 | Megan Patel | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-09-18 |
1336758192 | Rachel Magdalene Ford | Behavioral Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-07-28 |
1942824735 | Jillian D'rae Shaffer | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2020-06-08 |
1659918548 | Sabra Larae Hagan | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-12-10 |
1104467836 | Erin Nicole Drury | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-10-03 |
1346800802 | Chad Michael Shultz | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-06-17 |
1184284085 | Angela Kircher | Behavior Technician | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2019-06-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
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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 |
---|---|---|---|---|
1245867217 | Aba Bilingual Consulting,llc | Behavioral Analyst | 2413 Tanglewood St, Lakeland, FL 33801-2702 | 2020-03-26 |
1659858686 | Susan Emily Kennedy | Behavioral Analyst | 304 E Pine St # 19, Lakeland, FL 33801-4969 | 2018-07-23 |
1356832109 | Kimberly Taylor | Behavioral Analyst | 22 Jacobs Walk, Lakeland, GA 31635-5741 | 2018-05-27 |
1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
1639691165 | Joanna Marie Sitta | Behavioral Analyst | 5302 S Florida Ave Ste 202, Lakeland, FL 33813-4910 | 2017-07-17 |
1821521899 | B Is for Behavior, LLC | Behavioral Analyst | 3004 Atlanta Ave, Lakeland, FL 33803-4304 | 2017-04-06 |
1821530841 | Achieve Behavioral Development Services | Behavioral Analyst | 4060 Sunset Lake Dr, Lakeland, FL 33810-2841 | 2016-11-08 |
1588112353 | Veronica Dunn | Behavioral Analyst | 7212 Regent Dr, Lakeland, FL 33810-4711 | 2016-09-21 |
1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
1629422514 | Kristin More | Behavioral Analyst | 3720 Whitedove Dr, Lakeland, FL 33812-4163 | 2016-04-18 |
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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.