MRS. SHELLEY JO GREEN (NPI# 1124435474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124435474 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY JO GREEN |
| Practice Address |
1003 N Cummings Ln Washington IL 61571-9646 |
| Practice Telephone | 3094441000 |
| Practice Fax Number | 3094447000 |
| Mailing Telephone | 3094441000 |
| Mailing Fax Number | 3094447000 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730518515 | Shelley Green | Massage Therapist | 24166 Corktree Ln, Aldie, VA 20105-2189 | 2013-11-02 |
| 1467876862 | Shelley Lynn Green | Social Worker | 507 Courthouse Dr, Wilkesboro, NC 28697-2926 | 2014-02-06 |
| 1003184771 | Shelley Green | Pharmacist | 600 County Road 10 Ne, Blaine, MN 55434-2329 | 2011-12-08 |
| 1144453101 | Shelley D Green | Counselor | 2130 E Main St, Montrose, CO 81401-3834 | 2009-08-25 |
| 1366650368 | Shelley K Green | Marriage & Family Therapist | 1948 E Sunrise Blvd, Suite 8, Ft Lauderdale, FL 33304-1479 | 2007-05-21 |
| 1588785562 | Shelley J Green | Social Worker | Children's Hospital Guidance Center, 899 E. Broad St 3rd Floor, Columbus, OH 43205 | 2007-04-03 |
| Street Address |
1003 N CUMMINGS LN |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571-9646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942558655 | Aimee Jeannette Ladd | Psychologist | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2012-08-28 |
| 1871106377 | Tonya Koenigstein | Counselor | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2020-08-25 |
| 1386283562 | Anna Dusza | Counselor | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2020-01-05 |
| 1457996324 | Kirby O'brien | Counselor | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2019-11-14 |
| 1558830711 | Victoria Demler Kamhi | Counselor | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2018-11-17 |
| 1467949487 | Marie L Mullins | Counselor | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2018-04-16 |
| 1871046276 | Melissa Sallee | Counselor | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2016-08-02 |
| 1063869634 | Brennen Joseph | Counselor | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2016-05-24 |
| 1083070940 | Jacquelin Diane Ejka | Social Worker | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2016-01-07 |
| 1487022513 | Renee Ann Patton | Counselor | 1003 N Cummings Ln, Washington, IL 61571-9646 | 2015-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| Find all providers in zip 61571 | ||||
| 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 |
|---|---|---|---|---|
| 1518598408 | Rachel Elizabeth Enos | Behavioral Analyst | 403 1/2 Seward Sq Se, Washington, DC 20003-1113 | 2020-01-29 |
| 1881237865 | Powers Behavior Analysis | Behavioral Analyst | 1236 Eton Ct Nw, Washington, DC 20007-3241 | 2019-10-23 |
| 1720633902 | Tara Weiss | Behavioral Analyst | 3325 18th St Nw, Washington, DC 20010-1003 | 2019-08-05 |
| 1740842079 | Rachel Jourdan | Behavioral Analyst | 1440 N St Nw, Washington, DC 20005-2814 | 2019-07-08 |
| 1093376774 | Charline Smith-johnson | Behavioral Analyst | 1356 Adams St Ne, Washington, DC 20018-3545 | 2019-06-24 |
| 1144886417 | Paola Alexandra Matos Franceschini | Behavioral Analyst | 613 Forrester St Se, Washington, DC 20032-3539 | 2019-05-13 |
| 1710542576 | Michelle Marie Sandilands | Behavioral Analyst | 327 34th Pl Ne, Washington, DC 20019-1407 | 2019-05-07 |
| 1649746397 | Quitibilla L Lyons | Behavioral Analyst | 1215 Simms Pl Ne Apt 3, Washington, DC 20002-7824 | 2018-10-21 |
| 1033685953 | Wellness Health Services, LLC | Behavioral Analyst | 4944 S Dakota Ave Ne Ste 3, Washington, DC 20017-3915 | 2018-10-18 |
| 1306325329 | Shana L Rodriguez | Behavioral Analyst | 300 M St Sw # N602, Washington, DC 20024-4019 | 2018-08-09 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 61571 |
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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.