JESSICA SHORTELL (NPI# 1811502529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811502529 |
| Entity Type | Individual |
| Full Name | JESSICA SHORTELL |
| Practice Address |
1530 Chatham Ct Nw Concord NC 28027-8894 |
| Practice Telephone | 6786302955 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| 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 |
1530 CHATHAM CT NW |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-8894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| 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 |
|---|---|---|---|---|
| 1821602384 | Kaitlynn Driggers | Behavior Technician | 900 Branchview Dr Ne Ste B, Concord, NC 28025-2213 | 2020-09-02 |
| 1174140032 | Meredith Carpenter | Behavior Technician | 1200 Concord Ave Ste 1001200, Concord, CA 94520-4915 | 2020-06-26 |
| 1700414794 | Gemmy Moreno | Behavior Technician | 555 Virginia Rd, Concord, MA 01742-2770 | 2020-03-27 |
| 1407489461 | Ayanna Monique Marsh | Behavior Technician | 84 Todd Dr Ne, Concord, NC 28025-3143 | 2020-02-18 |
| 1972135457 | Jessica Grace Dilorenzo | Behavior Technician | 3604 Courage Ct Sw, Concord, NC 28027-2719 | 2020-02-12 |
| 1851923007 | Jessica Rubin | Behavior Technician | 3930 Newcastle Rd, Concord, CA 94519-1221 | 2020-02-05 |
| 1093346538 | Eric'ka Leonna Malone | Behavior Technician | 1835 Robin Ln Apt 1, Concord, CA 94520-3821 | 2020-02-03 |
| 1518505221 | Zachary Miles Pelkey | Behavior Technician | 575 Virginia Rd, Concord, MA 01742-2761 | 2019-12-12 |
| 1508404385 | Mattea Hakala | Behavior Technician | 575 Virginia Rd Ste 310b, Concord, MA 01742-2761 | 2019-12-12 |
| 1669010427 | Tara Lynn Mickle | Behavior Technician | 575 Virginia Rd # 310b, Concord, MA 01742-2761 | 2019-12-11 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on JESSICA SHORTELL.
| 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.