SHANNON WILSON (NPI# 1003304171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003304171 |
| Entity Type | Individual |
| Full Name | SHANNON WILSON |
| Credential | BCABA |
| Practice Address |
550 N Reo St Tampa FL 33609-1061 |
| Practice Telephone | 8133742070 |
| Practice Fax Number | 8133370937 |
| Mailing Telephone | 8133742070 |
| Mailing Fax Number | 8133370937 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 01910399 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752425 | Shannon Michelle Wilson | Licensed Practical Nurse | 38 S Thomas Rd Unit B, Tallmadge, OH 44278-2100 | 2019-04-03 |
| 1336617398 | Shannon Wilson | Registered Nurse | 228 19th St Sw, Rochester, MN 55902-2327 | 2018-11-07 |
| 1841711173 | Shannon Wilson | Physical Therapy Assistant | 6102 Easton Rd, Knoxville, TN 37920-6434 | 2017-06-27 |
| 1629417746 | Shannon Marie Wilson | Counselor | 1570 42nd St Ne Ste 2a, Cedar Rapids, IA 52402-3073 | 2013-06-21 |
| 1033402268 | Shannon Lotess Wilson | Licensed Practical Nurse | 16834 127th Ave, 6a, Jamaica, NY 11434-3148 | 2011-05-20 |
| 1013225754 | Shannon Amber Wilson | Social Worker | 3535 N California Ave, Suite F, Peoria, IL 61603-1178 | 2010-09-15 |
| 1043413115 | Shannon Leigh Wilson | Physical Therapy Assistant | 5210 Sarah Lane, Fredericksburg, VA 22407 | 2007-06-07 |
| 1477681146 | Shannon Brock Wilson | Dentist | 19 Shirmadon Dr, Honea Path, SC 29654-1533 | 2007-03-02 |
| 1730714320 | Shannon Elise Wilson | Behavior Technician | 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347 | 2020-03-04 |
| 1396225843 | Shannon A Wilson | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-08-15 |
| Street Address |
550 N REO ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659569580 | Elizabeth Acquaah-harrison | Speech-Language Pathologist | 550 N Reo St, Tampa, FL 33609-1061 | 2007-10-04 |
| 1669967717 | Lauren Munsell Kaltenbach | Behavioral Analyst | 550 N Reo St, Tampa, FL 33609-1061 | 2018-06-29 |
| 1548755978 | Dominique Thompson | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-06-27 |
| 1073002598 | Sharlene Lopez | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-05-10 |
| 1114416724 | Manuela Gonzalez | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-05-09 |
| 1891282794 | Emily Edgington Jean Edgington | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-04-16 |
| 1972006765 | Jennifer Rebecca Weyman | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-03-17 |
| 1174026322 | Ashley Anne Armstrong | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-03-14 |
| 1215439633 | Jessica S. Cordero | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-03-01 |
| 1194225177 | Ashlee Harris | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
| 1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
| 1962037648 | Shane M Edwards | Assistant Behavior Analyst | 8875 Hidden River Pkwy Ste 318, Tampa, FL 33637-1035 | 2020-03-03 |
| 1689238545 | Tashander Gwendolyn Austin | Assistant Behavior Analyst | 1001 N Dale Mabry Hwy Ste C-100, Tampa, FL 33607-4808 | 2019-04-26 |
| 1740777556 | Patterns Behavioral Services Florida, Inc | Assistant Behavior Analyst | 12000 N Dale Mabry Hwy Ste 112, Tampa, FL 33618-3311 | 2018-04-17 |
| 1396270260 | Ravin Nottingham | Assistant Behavior Analyst | 1701 Julian Lane Dr, Tampa, FL 33619-5549 | 2017-04-27 |
| 1275065856 | Laurencia Irish | Assistant Behavior Analyst | 19046 Bruce B Downs Blvd # 109, Tampa, FL 33647-2434 | 2017-04-01 |
| 1972049211 | Rossana Beytia Aguilar | Assistant Behavior Analyst | 4302 Gunn Hwy Apt 905, Tampa, FL 33618-8771 | 2017-01-10 |
| 1093250516 | Evana Abraham | Assistant Behavior Analyst | 2028 E New Orleans Ave, Tampa, FL 33610-5000 | 2016-12-20 |
| 1972047496 | Bryan Zimmerman | Assistant Behavior Analyst | 11811 Cypress Hill Cir, None, Tampa, FL 33626-3672 | 2016-12-19 |
| Find all providers in TAMPA | ||||
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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.