JOSEPH SHANE (NPI# 1700247665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700247665 |
| Entity Type | Individual |
| Full Name | JOSEPH SHANE |
| Credential | BCBA |
| Practice Address |
201 Bakers Ridge Rd Morgantown WV 26508 |
| Mailing Address |
201 Bakers Ridge Rd Morgantown WV 26508-1500 |
| Practice Telephone | 3045984300 |
| Mailing Telephone | 3045984300 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-10-7303 | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 345 Falcon Run, Morgantown, WV 265084526 | 2698769789 |
| Street Address |
201 BAKERS RIDGE RD |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396096517 | Jocelynn Fike | Occupational Therapist | 201 Bakers Ridge Rd, Morgantown, WV 26508-1500 | 2012-09-27 |
| 1659978674 | Claire Horton Baniak | Psychologist | 201 Bakers Ridge Rd, Morgantown, WV 26508-1500 | 2020-10-02 |
| 1467006015 | Audrey Warner | Occupational Therapist | 201 Bakers Ridge Rd, Morgantown, WV 26508-1500 | 2019-07-31 |
| 1417436957 | Lauren Glover | Speech-Language Pathologist | 201 Bakers Ridge Rd, Morgantown, WV 26508-1500 | 2018-08-07 |
| 1659859114 | Kyra End | Physical Therapist | 201 Bakers Ridge Rd, Morgantown, WV 26508-1500 | 2018-08-06 |
| 1821418765 | David Glenn Huss | Pediatrics | 201 Bakers Ridge Rd, Morgantown, WV 26508-1500 | 2014-04-18 |
| 1275975583 | Nicole Leanne Shriver | Behavioral Analyst | 201 Bakers Ridge Rd, Morgantown, WV 26508 | 2013-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| 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 |
|---|---|---|---|---|
| 1174095111 | Charlotte Renee Arrington | Behavioral Analyst | 5000 Greenbag Rd Ste A1, Morgantown, WV 26501-7123 | 2018-12-31 |
| 1780171629 | Aba Specialists of Morgantown LLC | Behavioral Analyst | 345 Falcon Run, Morgantown, WV 26508-4526 | 2018-04-17 |
| 1821598269 | Autism Support Services LLC | Behavioral Analyst | 808 Ridgeway Ave, Morgantown, WV 26505-5748 | 2018-02-12 |
| 1780102541 | Katherine Jane Mitchem | Behavioral Analyst | 827 Fairmont Rd Ste 207, Morgantown, WV 26501-3857 | 2017-08-31 |
| 1265973267 | Reginna L Wagoner | Behavioral Analyst | 76 Champagne Dr, Morgantown, WV 26508-5223 | 2017-03-10 |
| 1487923785 | Sharon Holbert | Behavioral Analyst | 3309 Darrah Ave, Morgantown, WV 26508-9187 | 2011-12-16 |
| 1457811465 | Devin Lane Parsons | Behavioral Analyst | 5000 Greenbag Rd Ste A1, Morgantown, WV 26501-7123 | 2019-03-25 |
| 1073085015 | Haley Miriah Ramsey | Behavioral Analyst | 5000 Greenbag Rd Ste A1, Morgantown, WV 26501-7123 | 2018-12-31 |
| 1609379759 | Kalie Renee Kossar | Behavioral Analyst | 827 Fairmont Rd Ste 207, Morgantown, WV 26501-3857 | 2018-03-15 |
| 1316468663 | Ww Behavior Consulting | Behavioral Analyst | 76 Champagne Dr, Morgantown, WV 26508-5223 | 2017-06-27 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
Please comment or provide details below to improve the information on JOSEPH SHANE.
| 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.