SHANNON NICOLE LEE (NPI# 1114549151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114549151 |
| Entity Type | Individual |
| Full Name | SHANNON NICOLE LEE |
| Practice Address |
1360 Porter St Dearborn MI 48124-2890 |
| Practice Telephone | 3136895581 |
| Mailing Telephone | 3136895188 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476789 | Shannon Marie Lee | Doula | 2917 Boulder Dr, West Des Moines, IA 50265-4154 | 2015-05-12 |
| 1316286859 | Shannon L Lee | Massage Therapist | 614 E Seltice Way Ste A, Post Falls, ID 83854-6367 | 2013-02-04 |
| 1083832497 | Shannon Lee | Perfusionist | 68 Harriet St, Apt 16, San Francisco, CA 94103-4093 | 2007-04-23 |
| 1760514939 | Shannon Lee | Marriage & Family Therapist | 3111 Los Feliz Blvd Ste 106, Los Angeles, CA 90039 | 2007-03-12 |
| 1811598196 | Shannon C. Lee | Behavior Technician | 7090 Samuel Morse Dr Ste 100, Columbia, MD 21046-3444 | 2020-11-04 |
| 1083232938 | Shannon Randa Lee | Nurse Practitioner | 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 2020-07-08 |
| 1114559069 | Shannon Michelle Lee | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-09 |
| 1710538616 | Shannon Jinho Lee | Pediatrics | 5901 Green Valley Cir Ste 130, Culver City, CA 90230-6900 | 2019-09-23 |
| 1558919449 | Shannon Eunhwa Lee | Optometrist | 3046 Knights Rd, Bensalem, PA 19020-2815 | 2019-09-03 |
| 1760038640 | Shannon Hyunji Lee | Speech-Language Pathologist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2019-08-15 |
| Street Address |
1360 PORTER ST |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205271459 | Ama Diagnostic Solutions LLC | Radiologic Technologist | 1360 Porter St, Suite 210, Dearborn, MI 48124-2823 | 2013-05-01 |
| 1740881838 | Ali Balawi | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-11-04 |
| 1083215412 | Shianne Butler | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-11-03 |
| 1356942858 | Lauren Plummer | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-11-03 |
| 1316548639 | Hibah Mohammed Shayea | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-11-03 |
| 1689274383 | Diana Mahmoud Sobh I | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-10-30 |
| 1679172449 | Abdelhakim Boukhatmi | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-10-22 |
| 1104425875 | Mohammad Mahmoud Alhezaber II | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-10-22 |
| 1043819295 | Ream Najeeb Almasaoudi II | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-10-20 |
| 1689273831 | Nadine Hassan Zein | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| 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 |
|---|---|---|---|---|
| 1407498280 | Ali Makki | Behavior Technician | 1360 Porter St Ste 100, Dearborn, MI 48124-2894 | 2019-10-13 |
| 1255989448 | Gabrielle-gloria Nicole Bryant | Behavior Technician | 1360 Porter Street, Dearborn, MI 48124-2890 | 2019-08-30 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1326692591 | Sarah Kamal Abdullah | Behavior Technician | 10 Barclay Ct, Dearborn, MI 48126-2908 | 2019-07-26 |
| 1578117792 | Abigail Marie Brozoski | Behavior Technician | 20500 Outer Dr, Dearborn, MI 48124-2643 | 2019-07-25 |
| 1205496478 | Nye Rahal | Behavior Technician | 1360 Porter St Lowr Part1, Dearborn, MI 48124-2890 | 2019-06-19 |
| 1699334334 | Sabrin M Abu-omarah | Behavior Technician | 1927 Linden St, Dearborn, MI 48124-4011 | 2019-06-06 |
| 1629637319 | Danielle Harris | Behavior Technician | 2245 Parker St, Dearborn, MI 48124-3416 | 2019-06-06 |
| 1629635610 | Hussein Hassan Makki | Behavior Technician | 6915 Oakman Blvd, Dearborn, MI 48126-1894 | 2019-05-24 |
| Find all providers in DEARBORN | ||||
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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.