SHELBY ANN SMITH (NPI# 1790304939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790304939 |
| Entity Type | Individual |
| Full Name | SHELBY ANN SMITH |
| Credential | BCBA, LBS |
| Practice Address |
1161 Main St Jenkins Township PA 18640-1557 |
| Practice Telephone | 5709052803 |
| Mailing Telephone | 5709052803 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-36487 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467929257 | Shelby Lynn Smith | Behavior Technician | 56 Gaymore Rd, Port Jefferson Station, NY 11776-1353 | 2018-10-30 |
| 1184164782 | Shelby Lynn Smith | Specialist/Technologist | 6035 Radio Station Rd, La Plata, MD 20646-3369 | 2017-03-01 |
| 1659736809 | Shelby Deason Smith | Counselor | 300 Erin Ave Apt 4, Monroe, LA 71201-4606 | 2015-12-15 |
| 1073744280 | Shelby Colquitt Smith | Nurse Practitioner | 6308 Adams Park Dr, Columbus, GA 31909-3528 | 2009-08-05 |
| 1437285038 | Shelby Allen Smith | Family Medicine | 3850 S. National Ave, #520, Springfield, MO 65807-5230 | 2007-02-26 |
| 1093752123 | Shelby K Smith | Chiropractor | 1568 Southlake Pkwy Ste B, Morrow, GA 30260 | 2006-05-31 |
| 1700882784 | Shelby J. Smith | Dentist | 2213 Buchanan Rd, Ste 112, Antioch, CA 94509-4265 | 2005-06-23 |
| 1114554078 | Shelby Smith | Orthopaedic Surgery | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-03-23 |
| 1639720287 | Shelby Denise Smith | Counselor | 605 W Oxford Ave, Enid, OK 73701-1208 | 2019-09-25 |
| 1639729510 | Shelby Smith | Speech-Language Pathologist | 101 Kirkland St, Union, MS 39365-3205 | 2019-09-12 |
| Street Address |
1161 MAIN ST |
| City | JENKINS TOWNSHIP |
| State | PA |
| Zip Code | 18640-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557176 | Terrana Counseling | Counselor | 2 Berkeley Street, Pittston, PA 18640 | 2017-09-12 |
| 1932647898 | Latona Home Health Services LLC | Home Health | 41 South Main St, Pittston, PA 18640 | 2017-02-10 |
| 1104292960 | Geisinger Wyoming Valley Medical Center | Radiology | 42 North Main St, Pittston, PA 18640 | 2015-08-17 |
| 1225412398 | Cara Capozucca | Specialist/Technologist | 450 Broad Street, Pittston Twp., PA 18640 | 2015-07-17 |
| 1548676463 | Dominick Ardo IIi | Pharmacist | 189 Johnson St, Pittston, PA 18640 | 2014-07-11 |
| 1518308691 | Katelyn Hopkins | Speech-Language Pathologist | 69 Market St, Pittston, PA 18640 | 2013-07-17 |
| 1467895300 | Nocerini-warshal P.C. | Dentist | 34 South Main St., Pittston, PA 18640 | 2013-04-10 |
| 1164767851 | Nancy Larralde | Physical Therapist | 209 Roberts Road, United Methodist Home Wesley Village, Pittston, PA 18640 | 2012-12-06 |
| 1285877399 | Brenda Ann Pavill | Nurse Practitioner | 37 Williams St, The Care and Concern Free Clinic, Pittston, PA 18640 | 2009-04-20 |
| 1558532671 | Wyoming Valley Alcohol & Drug Services, Inc | Counselor | 49 South Main St., Pittston, PA 18640 | 2008-03-17 |
| Find all providers in zip 18640 | ||||
| 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 |
|---|---|---|---|---|
| 1902407257 | Megan Blocker | Behavioral Analyst | 76 Glen Moore Cir, Lancaster, PA 17601-4024 | 2020-11-03 |
| 1871194498 | Janet Price | Behavioral Analyst | 109 Plaza Drive, Unit 5, Long Pond, PA 18334 | 2020-11-02 |
| 1700486321 | Jasmin Jetie Tyree | Behavioral Analyst | 109 S 63rd St, Philadelphia, PA 19139-2929 | 2020-11-01 |
| 1588264642 | Mackenzie Morcom | Behavioral Analyst | 807 Moosic Rd, Old Forge, PA 18518-2032 | 2020-10-28 |
| 1508465055 | Sally Martincic | Behavioral Analyst | 115 Jennifer Dr, Sciota, PA 18354-7601 | 2020-10-25 |
| 1659970192 | Songbird Health Pa LLC | Behavioral Analyst | 325 Chestnut St Ste 876, Philadelphia, PA 19106-2614 | 2020-10-24 |
| 1487253290 | Peter Heh | Behavioral Analyst | 1690 Kennedy Rd, Imperial, PA 15126-9130 | 2020-10-22 |
| 1184223422 | Lauren Killion | Behavioral Analyst | 7626 Burholme Ave, Philadelphia, PA 19111-2411 | 2020-10-19 |
| 1407454622 | Sakeena Myrick | Behavioral Analyst | 2405 S Edgewood St, Philadelphia, PA 19142-3201 | 2020-10-09 |
| 1639786965 | Children's Universal Behavior Services | Behavioral Analyst | 107 Shawnee Square Dr Se # E, Shawnee On Delaware, PA 18356-0700 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | JENKINS TOWNSHIP |
| Zip Code | 18640 |
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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.