RICHARD LOGAN SHIRLEY


Address: 145 E Edgewood Dr, Lakeland, FL 33803-4014
Phone: 8636192809

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst RBT-20-112091 FL Behavioral Health & Social Service Providers

Office Location

Street Address 145 E EDGEWOOD DR
City LAKELAND
State FL
Zip Code 33803-4014

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in LAKELAND

Competitor

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City LAKELAND
Zip Code 33803

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Dataset Information

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.

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