MRS. SHANNON M BACCHIOCCHI


Address: 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010
Phone: 7576392218

MRS. SHANNON M BACCHIOCCHI (NPI# 1023678455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023678455
Entity Type Individual
Full Name MRS. SHANNON M BACCHIOCCHI
Other Name MISS SHANNON WORTMANN
Credential BS,RBT
Practice Address 3101 Magic Hollow Blvd
Virginia Beach
VA 23453-3010
Practice Telephone 7576392218
Mailing Telephone 7576392218
Enumeration Date 2019-06-18
Last Update Date 2019-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 106S00000X VA Behavioral Health & Social Service Providers

Office Location

Street Address 3101 MAGIC HOLLOW BLVD
City VIRGINIA BEACH
State VA
Zip Code 23453-3010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750570206 Rebecca Ruppel Mcglohn Behavioral Analyst 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2007-10-22
1588261416 Shane Jones Behavioral Analyst 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2020-10-05
1891392890 Kelly Conner Behavior Technician 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2020-10-03
1912543380 Megan Spiewak Behavior Technician 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2019-11-20
1720632060 Keani Washington Behavior Technician 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2019-07-25
1780238162 Kris A Dillard Behavior Technician 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2019-07-24
1760035398 Samantha Dale Westergaard Behavior Technician 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2019-07-23
1033762679 Chelsey Tennant Behavior Technician 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2019-07-23
1336609304 Keneisha Kristal Rios-rodriguez Behavior Technician 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2019-03-25
1497227565 Jazmyn Bell-jackson Behavior Technician 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 2018-12-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407346109 Sumaca S.a De C.v. General Acute Care Hospital Paseo De La Marina Int 4116, El Medano, San Jose Del Cabo, BAJA CALIFORNIA SUR 23453 2018-05-17
1336644814 Jessica Zuckerman Family Medicine 2309 Nettleford Way, Virginia Beach, VA 23453 2018-03-27
1811359623 Jana Leigh Dillon Behavioral Analyst 3101 Magic Hollow Blvd Ste 101, Virginia Beach, VA 23453 2016-03-22
1679903249 Carmen Robinson Physical Therapy Assistant 3729 Purebred Dr, Virginia Beach, VA 23453 2013-11-19
1386986891 Christina Pryor Behavioral Analyst Nbc 1531 Amberley Forest Road, Virginia Beach, VA 23453 2013-03-22
1417222415 Rebecca Lynn Dahlka Contractor 1404 Planting Ct., Virginia Beach, VA 23453 2012-03-09
1730405879 Coastal Dermatology P.C. Dermatology 3176 Holland Rd., 103, Virginia Beach, VA 23453 2010-04-14
1235466277 Michael Allen Brasko Specialist/Technologist, Other 2604 Olympic Drive, Virginia Beach, VA 23453 2009-11-12
1518101385 Matthew Faauli Social Worker 3134 Magic Hollow Blvd, Ste 200, Virginia Beach, VA 23453 2009-04-23
1104902246 Cynthia Tapp Elswick Social Worker 3432 Magic Hollow Blvd, Suite 200, Va. Beach, VA 23453 2006-10-31
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891341905 Chad Honeycutt Behavioral Analyst 780 Lynnhaven Pkwy Ste 370, Virginia Beach, VA 23452-7353 2019-08-14
1356994263 Agape Consulting Behavioral Analyst 1216 Garth Court, Virginia Beach, VA 23454 2019-07-19
1992362297 Margaret Jones Behavioral Analyst 989 Kelso Ct, Virginia Beach, VA 23464-3054 2019-05-22
1861970915 Lorraine Bachelor Richardson Behavioral Analyst 4565 Totteridge Ln, Virginia Beach, VA 23462-7771 2018-07-31
1629574991 Rachel Trail Behavioral Analyst 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 2018-04-04
1750885851 Kimberly Rhodes Behavioral Analyst 3904 Regal Ct, Virginia Beach, VA 23452-3824 2018-03-22
1275049892 Stephanie M. Hadley Behavioral Analyst 760 Lynnhaven Pkwy, Virginia Beach, VA 23452-7325 2017-12-19
1710491360 Patricia Sheridan Murray Behavioral Analyst 801 High Point Ave, Virginia Beach, VA 23451-4707 2017-11-18
1629588298 Samantha Byrnes Behavioral Analyst 416 Rennie Ct, Virginia Beach, VA 23454-3946 2017-10-09
1588189831 Cassandra Jones Behavioral Analyst 5914 Appleton Ct, Virginia Beach, VA 23464-4914 2017-08-08
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Competitor

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City VIRGINIA BEACH
Zip Code 23453

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Dataset Information

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.

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