SHANEQUA MYERS (NPI# 1679001614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679001614 |
| Entity Type | Individual |
| Full Name | SHANEQUA MYERS |
| Practice Address |
538 Broadhollow Rd Melville NY 11747-3676 |
| Practice Telephone | (631) 385-7780 |
| Mailing Telephone | 6313857780 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
538 BROADHOLLOW RD |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548308125 | Becki Naomi Boussidan | Specialist | 538 Broadhollow Rd, Suite 202, Melville, NY 11747-3676 | 2007-02-03 |
| 1801315478 | Courtney N Pallotta | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-09-14 |
| 1104340520 | Julianne Fairbrother | Early Intervention Provider Agency | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-07-27 |
| 1144759572 | Carly Galvin | Behavior Technician | 538 Broadhollow Rd, Suite 202, Melville, NY 11747 | 2017-06-08 |
| 1861920928 | Karina Kononenko | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-06-01 |
| 1144758418 | Nicole P Ringel | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-31 |
| 1740718634 | Michelle Kopec | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-23 |
| 1568998953 | Haley Sabella | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-04 |
| 1790211142 | Angela Olsen | Case Manager/Care Coordinator | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-04 |
| 1073048294 | Milagros Malca | Case Manager/Care Coordinator | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| 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 |
|---|---|---|---|---|
| 1255966438 | Christina Marie Valenti | Behavior Technician | 225 Broadhollow Rd Ste 40211747, Melville, NY 11747-4822 | 2020-03-07 |
| 1760025126 | Christina Middleton | Behavior Technician | 225 Broadhollow Rd Ste 2, Melville, NY 11747-4822 | 2019-10-17 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1497211668 | Samantha Sellick | Behavior Technician | 225 Broadhollow Rd Ste 102, Melville, NY 11747-4807 | 2019-02-13 |
| 1679041370 | Cassandra Leighann Mendoza | Behavior Technician | 225 Broadhollow Rd Ste 42, Melville, NY 11747-4822 | 2018-11-12 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1043793078 | Goucem Abrik | Behavior Technician | 225 Broadhollow Rd Ste 40, Melville, NY 11747-4822 | 2018-09-14 |
| 1306329172 | Sabrina Green | Behavior Technician | 225 Broadhollow Rd Ste Melville, Melville, NY 11747-4822 | 2018-09-07 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1952895435 | Komul Wadwa | Behavior Technician | 225 Broadhollow Rd Ste 204, Melville, NY 11747-4822 | 2018-06-19 |
| Find all providers in MELVILLE | ||||
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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.