SHELBY ANNALISA BROADNAX (NPI# 1922613660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922613660 |
| Entity Type | Individual |
| Full Name | SHELBY ANNALISA BROADNAX |
| Practice Address |
1029 Doncaster Dr Antioch CA 94509-4713 |
| Mailing Address |
400 29th St Ste 204 Oakland CA 94609-3547 |
| Practice Telephone | 9258646583 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| 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 |
1029 DONCASTER DR |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| 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 |
|---|---|---|---|---|
| 1881227841 | Flor De Maria Perez Bautista | Behavioral Analyst | 5020 Apache Ct, Antioch, CA 94531-8497 | 2020-02-18 |
| 1356972814 | Veronica Lugene Barnett | Behavioral Analyst | 309 Brookside Dr, Antioch, CA 94509-6109 | 2020-02-03 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1689210965 | Janet Esmeralda Soto | Behavioral Analyst | 3244 Ashley Way, Antioch, CA 94509-6511 | 2019-11-21 |
| 1407407604 | Tamara Devaun Braggs | Behavioral Analyst | 900 W 4th St Apt E, Antioch, CA 94509-1158 | 2019-09-28 |
| 1306494414 | Kylan Molnar | Behavioral Analyst | 1832 Vender Way, Antioch, CA 94531-7412 | 2019-09-01 |
| 1508412776 | Oscar Cabeza | Behavioral Analyst | 1217 Almondwood Dr, Antioch, CA 94509-5170 | 2019-08-14 |
| 1487112959 | Christine Osiuhwu | Behavioral Analyst | 2056 Schell Mountain Way, Antioch, CA 94531-9101 | 2019-03-04 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| Find all providers in ANTIOCH | ||||
Please comment or provide details below to improve the information on SHELBY ANNALISA BROADNAX.
| 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.