SHYRO P POULLARD (NPI# 1790338077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790338077 |
| Entity Type | Individual |
| Full Name | SHYRO P POULLARD |
| Practice Address |
1443 Brightside Dr Apt 1532c Baton Rouge LA 70820-4819 |
| Practice Telephone | 3184912339 |
| Mailing Telephone | 3184912339 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | LA | Behavioral Health & Social Service Providers |
| Street Address |
1443 BRIGHTSIDE DR APT 1532C |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70820-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285942 | Lucas Patin | Specialist/Technologist | 449 Ben Hur Rd., Apt. 4311, Baton Rouge, LA 70820 | 2018-12-03 |
| 1851882302 | Khourtni Rose Fears | Counselor | 1134 W Lee Dr Apt B, Baton Rouge, LA 70820 | 2018-05-21 |
| 1013405646 | St Gabriel Health Clinic, Inc | Clinic/Center | 7800 Innovation Dr, Baton Rouge, LA 70820 | 2018-04-30 |
| 1972965325 | Reginald Knox | Non-emergency Medical Transport (VAN) | 1481 Lila Street, Baton Rouge, LA 70820 | 2016-03-24 |
| 1124480058 | Asha Marie Vyas | Counselor | 4000 Lake Beau Pre Blvd Apt 66, Baton Rouge, LA 70820 | 2016-03-21 |
| 1316317449 | Connor Alleman | Student in an Organized Health Care Education/Training Program | 1984 Brightside Dr. Apt#215, Baton Rouge, LA 70820 | 2015-10-01 |
| 1699151456 | Lynn Dirks | Physical Therapist | 6307 Hope Estate Dr, Baton Rouge, LA 70820 | 2015-08-04 |
| 1609258839 | Emily Heitman | Student in an Organized Health Care Education/Training Program | 2819 Three Oaks Avenue, Baton Rouge, LA 70820 | 2015-06-24 |
| 1811397854 | Maria E Garcia-giese | Speech-Language Pathologist | 6040 Belle Grove Dr, Baton Rouge, LA 70820 | 2014-08-27 |
| 1740606763 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9326 Burbank Dr, Baton Rouge, LA 70820 | 2014-03-14 |
| Find all providers in zip 70820 | ||||
| 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 |
|---|---|---|---|---|
| 1447850698 | Alyssa Mae Henderson | Behavior Technician | 4155 Essen Ln, Baton Rouge, LA 70809-2150 | 2020-10-27 |
| 1518580380 | Sheritha Thelmessia Sherman | Behavior Technician | 7440 Richey Dr, Baton Rouge, LA 70812-2251 | 2020-05-27 |
| 1467099762 | Hannah Carter | Behavior Technician | 2510 Gates Cir Apt 23, Baton Rouge, LA 70809-1032 | 2019-12-05 |
| 1629619465 | Markisha Paul | Behavior Technician | 1544 N 40th St, Baton Rouge, LA 70802-1623 | 2019-10-02 |
| 1316418494 | Markeisha Lashawn Hills | Behavior Technician | 4600 Burbank Dr Apt 139, Baton Rouge, LA 70820-3212 | 2018-12-16 |
| 1992284707 | Gena Yelverton Higginbotham | Behavior Technician | 758 Royal St, Baton Rouge, LA 70802-6433 | 2018-08-13 |
| 1710475934 | Adrienne Marie Brown | Behavior Technician | 11606 Southfork Ave Ste 300b, Baton Rouge, LA 70816-5235 | 2018-04-23 |
| 1982106431 | Cheryllynn Story | Behavior Technician | 11606 Southfork Avenue Building 300, Baton Rouge, LA 70816 | 2018-03-01 |
| 1942700661 | Sierra Ya'shee' Leatherman | Behavior Technician | 1302 Bob Pettit Blvd Bldg Apt .30, Baton Rouge, LA 70820-3021 | 2018-02-19 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70820 |
Please comment or provide details below to improve the information on SHYRO P POULLARD.
| 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.