DANIEL LEE SHAFTO (NPI# 1871861526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871861526 |
| Entity Type | Individual |
| Full Name | DANIEL LEE SHAFTO |
| Credential | MA BCBA |
| Practice Address |
1336 E Madison St South Bend IN 46617-2431 |
| Practice Telephone | 2195750935 |
| Practice Fax Number | 5742871898 |
| Mailing Telephone | 2195750935 |
| Mailing Fax Number | 5742871898 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1336 E MADISON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
|---|---|---|---|---|
| 1639785520 | Hannah Betz | Behavioral Analyst | 1827 E Ireland Rd, South Bend, IN 46614-2845 | 2020-09-16 |
| 1467074765 | Kelly Deneve | Behavioral Analyst | 53779 Generations Dr, South Bend, IN 46635-1576 | 2020-05-11 |
| 1568915692 | Jessica Leeann Rimes | Behavioral Analyst | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2016-07-25 |
| 1952762536 | Maureen Candice Goetz | Behavioral Analyst | 1937 Churchill Dr, South Bend, IN 46617-2212 | 2016-03-10 |
| 1548626963 | Shelley Gorski | Behavioral Analyst | 58160 Pecan Rd, South Bend, IN 46619-9620 | 2016-01-14 |
| 1013373562 | Alicia Jaclyn White | Behavioral Analyst | 17390 Dugdale Drive, South Bend, IN 46635-1512 | 2016-01-13 |
| 1568705234 | Cynthia Ann Pinkowski | Behavioral Analyst | 53104 Oakton Dr, South Bend, IN 46635-1371 | 2013-04-01 |
| 1780860312 | Sorah Stein | Behavioral Analyst | 751 Donmoyer Ave, South Bend, IN 46614-1935 | 2008-01-14 |
| 1376155424 | Kodie Heading | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-20 |
| 1235769738 | Dana Marie Kozinski | Behavioral Analyst | 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512 | 2020-01-23 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.