KELLY GRACE SHAW


Address: 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517
Phone: 4106566263

KELLY GRACE SHAW (NPI# 1780231100) 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) 1780231100
Entity Type Individual
Full Name KELLY GRACE SHAW
Practice Address 565 Benfield Rd Ste 300
Severna Park
MD 21146-2517
Mailing Address 21 Nunnery Ln
Catonsville
MD 21228-2057
Practice Telephone 4106566263
Mailing Telephone 2085968387
Enumeration Date 2019-08-21
Last Update Date 2020-04-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
414 Light St, Baltimore, MD 212021251 2085968387

Other Providers KELLY SHAW

NPI Name Taxonomy Address Enumeration
1336762822 Kelly Shaw Student in an Organized Health Care Education/Training Program 9800 Warwickshire Ln, Charlotte, NC 28270-1601 2020-05-19
1114113214 Kelly L Shaw Registered Nurse 8154 Painted Tree Trl, Fort Worth, TX 76131-4559 2007-09-21
1801928924 Kelly P Shaw Dentist 75-5995 Kuakini Hwy Ste 113, Kailua Kona, HI 96740-2120 2007-03-12
1700277852 Kelly Shaw Registered Nurse 5901 E 7th St, Long Beach, CA 90822-5201 2015-02-11
1205226107 Kelly Corey Shaw Acupuncturist 6018 Se Stark St, Portland, OR 97215-1990 2015-01-29
1790049807 Kelly Shaw Speech-Language Pathologist 5219 88th Ave, Kenosha, WI 53144-7468 2012-07-03
1720213358 Kelly Shaw Social Worker 1001 Georges Station Rd, Greensburg, PA 15601-6982 2009-05-27
1740431915 Kelly Shaw Physical Therapist 200 2nd Ave, Kingston, PA 18704-5722 2008-10-07
1376723874 Kelly Anne Shaw Counselor 200 Heritage Way, Kalispell, MT 59901-3146 2007-11-13
1235255829 Kelly Shaw Occupational Therapy Assistant 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502-1029 2007-03-22

Office Location

Street Address 565 BENFIELD RD STE 300
City SEVERNA PARK
State MD
Zip Code 21146-2517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801279872 Meg Gebremedhin Behavioral Analyst 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2015-07-08
1518584648 Julia Crabb Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2020-07-06
1932734175 Tyler Ferguson Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2020-03-09
1164057311 Kenny Ho Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2020-03-09
1861025728 Laura Hite Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2020-02-19
1750912697 Lauren M Dalnekoff Behavioral Analyst 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2020-01-29
1720625767 Dana Grindstaff Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2019-12-10
1437792421 Qiong Wu Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2019-10-22
1558903385 Nicole Ehrlich Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2019-10-14
1487296216 Hannah Donoway Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2019-10-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811538713 Erin Maria Betz Social Worker 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 2019-10-01
1912566753 Thomas Brown Jr. Optometrist 139 Ritchie Highway, Suite B, Severna Park, MD 21146 2019-06-06
1063985901 Nancy Mcdowell Lincoln-reynolds Marriage & Family Therapist Woods Counseling Center, 8 Cypress Creek Road, Severna Park, MD 21146 2019-01-03
1750865556 Laura Hoelzer Physical Therapist 820 Ritchie Highway, Severna Park, MD 21146 2018-09-18
1316431653 Severna Park Family Chiropractic, PC Chiropractor 846 Ritchie Hwy Ste 1b, Severna Park, MD 21146 2018-06-20
1164925202 Mnr Industries, LLC Clinic/Center 153 Ritchie Hwy, Severna Park, MD 21146 2018-03-15
1649798281 Lydia Ferguson Behavior Technician 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 2017-09-05
1477082873 Laura Mennecke Counselor 479 Jumpers Hole Road, Suite 304b, Severna Park, MD 21146 2017-06-08
1689112682 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 143 Ritchie Highway N, Severna Park, MD 21146 2017-02-09
1396195384 Amy Vance Nurse Practitioner 300 Mason Lord Drive, Baltimore, MD 21146 2016-06-21
Find all providers in zip 21146

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831701804 Holli Eppley Behavior Technician 565 Benfield Rd, Severna Park, MD 21146-2517 2020-08-20
1104448356 Benjamin Thomas Cook Behavior Technician 702 Dill Rd, Severna Park, MD 21146-4106 2020-05-11
1982169231 Marian West Behavior Technician 509 Likeston Ct, Severna Park, MD 21146-1722 2019-01-31
1649798281 Lydia Ferguson Behavior Technician 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 2017-09-05
1053832881 Jasmin Andrea Duran Behavior Technician 645 Baltimore Annapolis Blvd Ste 216, Severna Park, MD 21146-3934 2017-07-01
1982131207 Ashley K Ferwerda Behavior Technician 565 Baltimore Annapolis Blvd Ste 300, Severna Park, MD 21146-3809 2017-05-17
1730615576 Brittney Mabry Behavior Technician 645 Baltimore Annapolis Blvd Ste 216-217, Severna Park, MD 21146-3931 2017-05-11
1518584648 Julia Crabb Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2020-07-06
1932734175 Tyler Ferguson Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2020-03-09
1164057311 Kenny Ho Behavior Technician 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 2020-03-09
Find all providers in SEVERNA PARK

Competitor

Search similar providers

City SEVERNA PARK
Zip Code 21146

Improve Information

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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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