SHELBY D WHITE (NPI# 1124520697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124520697 |
| Entity Type | Individual |
| Full Name | SHELBY D WHITE |
| Credential | MS, BCBA |
| Practice Address |
1300 E. Bradford Parkway Springfield MO 65804 |
| Mailing Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
| Practice Telephone | 4177615000 |
| Practice Fax Number | 4177615011 |
| Mailing Telephone | 4177615000 |
| Mailing Fax Number | 4177615065 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 2018005738 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14228784 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720036890 | Shelby T White | Nurse Practitioner | 102 West Freedrom Drive, Liberty, MS 39645-0511 | 2006-05-04 |
| 1619469566 | Shelby Anne White | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2018-06-05 |
| 1396272803 | Shelby White | Counselor | 15 Union St Ste 200, Lawrence, MA 01840-1823 | 2017-05-15 |
| 1043767338 | Shelby White | Behavioral Analyst | 1430 Main St, Waltham, MA 02451-1623 | 2016-09-05 |
| 1952855587 | Shelby Elizabeth White | Physician Assistant | 777 Bannock St, Denver, CO 80204-4507 | 2016-08-11 |
| 1689024663 | Shelby White | Pharmacist | 500 W Fort St, 119, Boise, ID 83702-4501 | 2016-06-21 |
| 1750605374 | Shelby C. White | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2010-03-25 |
| 1306849344 | Shelby T White | Orthopaedic Surgery | 333 S 3rd St, Ste B, Danville, KY 40422-2016 | 2005-05-23 |
| Street Address |
1300 E. BRADFORD PARKWAY |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| 1700256872 | Lindsey Clarke | Speech-Language Pathologist | Springfield Public Schools, 1610 E. Sunshine St, Springfield, MO 65804 | 2015-10-01 |
| Find all providers in zip 65804 | ||||
| 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 |
|---|---|---|---|---|
| 1962001479 | Blueprint for Success LLC | Behavioral Analyst | 117 E Liberty St, Springfield, OH 45505-1935 | 2020-10-26 |
| 1790398527 | Katie Evans | Behavioral Analyst | 2117 E Madison St, Springfield, MO 65802-3025 | 2020-08-31 |
| 1275167215 | Christie Anne Tan | Behavioral Analyst | 92 Indian Rock Dr, Springfield, PA 19064-3341 | 2020-02-28 |
| 1346874674 | Haley Rose Thompson | Behavioral Analyst | 1272 S Grand Ave W, Springfield, IL 62704-3567 | 2020-02-25 |
| 1437789914 | Heather Marie Felske | Behavioral Analyst | 3048 S Clifton Ave Ste 112, Springfield, MO 65807-6045 | 2020-01-23 |
| 1164068052 | Jenna Casar | Behavioral Analyst | 1023 West Ave, Springfield, PA 19064-3729 | 2019-11-26 |
| 1376187930 | Leigha Sochurek | Behavioral Analyst | 5413 Montgomery St, Springfield, VA 22151-3855 | 2019-11-06 |
| 1659920791 | Linda Muckey | Behavioral Analyst | 4481 Ash Grove Dr, Springfield, IL 62711-6358 | 2019-09-11 |
| 1306492921 | Emmanuel Taye | Behavioral Analyst | 6700 Metropolitan Center Dr Apt 709, Springfield, VA 22150-4588 | 2019-08-12 |
| 1497213300 | Emily Ranck | Behavioral Analyst | 433 E Thomson Ave, Springfield, PA 19064-2927 | 2019-03-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.