SHANE DUFFY (NPI# 1639595713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639595713 |
| Entity Type | Individual |
| Full Name | SHANE DUFFY |
| Practice Address |
3074 E Selkirk Ave Post Falls ID 83854-7093 |
| Practice Telephone | 2082154812 |
| Mailing Telephone | 2082154812 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154556868 | Shane Daniel Lee Duffy | Skilled Nursing Facility | 609 1st St Sw, De Smet, SD 57231-2258 | 2009-05-26 |
| Street Address |
3074 E SELKIRK AVE |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-7093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| 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 |
|---|---|---|---|---|
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1578916763 | Christine Ayers | Behavioral Analyst | 2786 Thrush Dr, Post Falls, ID 83854-6420 | 2016-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174411 | K-now Behavioral Solutions, LLC | Behavioral Analyst | 9917 W Antietam St, Boise, ID 83709-3405 | 2020-11-06 |
| 1063026730 | Jill Johnson | Behavioral Analyst | 3609 W Rose Hill St, Boise, ID 83705-1515 | 2020-09-01 |
| 1467063115 | Zuleikah Walker | Behavioral Analyst | 725 N Meridian Rd, Meridian, ID 83642-2647 | 2020-08-14 |
| 1952911174 | Allyson Perreault | Behavioral Analyst | 3783 E Jump Creek Ln, Boise, ID 83716-5621 | 2020-08-03 |
| 1215546908 | Ashley Ramirez | Behavioral Analyst | 3394 S Annett Ave, Boise, ID 83705-4263 | 2020-07-28 |
| 1003447988 | Antony Serticchio | Behavioral Analyst | 702 E Front Ave, Coeur D Alene, ID 83814-4012 | 2020-01-30 |
| 1073143053 | Alett R Burlison | Behavioral Analyst | 4527 N Mendelson Ave, Meridian, ID 83646-4864 | 2020-01-18 |
| 1629616172 | Kimberly M Roller | Behavioral Analyst | 2222 Schiller Rd, Emmett, ID 83617-9747 | 2019-12-16 |
| 1205487279 | Vanessa Kay Lewis | Behavioral Analyst | 6235 W Filly St, Boise, ID 83703-5049 | 2019-09-21 |
| 1194372888 | Michelle Lynn Weddle | Behavioral Analyst | 719 12th St, Kamiah, ID 83536-5325 | 2019-08-19 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
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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.