AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC (NPI# 1154936466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154936466 |
| Entity Type | Organization |
| Organization Name | AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC |
| Practice Address |
901 N Santa Fe Ave Fountain CO 80817-1738 |
| Mailing Address |
685 Citadel Dr E Ste 580 Colorado Springs CO 80909-5381 |
| Practice Telephone | 7195970822 |
| Practice Fax Number | 7195970822 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | REBECCA NEWMAN (BILLING MANAGER) |
| Authorized Official Telephone | 7195970822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 12000256 | 05 |
| Other Name | Type Code |
|---|---|
| THE SHANDY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320665 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 917 E Moreno Ave Ste 100, Colorado Spgs, CO 80903-4547 | 2020-09-10 |
| 1245845809 | Amy Shandy, Speech-language Pathologist, LLC | Behavior Technician | 3131 S Vaughn Way Ste 119, Aurora, CO 80014-3501 | 2020-09-10 |
| 1225665219 | Amy Shandy, Speech-language Pathologist, LLC | Speech-Language Pathologist | Mountain View Core Knowledge School, 890 Field Ave, Cannon City, CO 81212-9250 | 2020-03-27 |
| 1790382364 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-06 |
| 1649877218 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 3625 Citadel Dr S, Colorado Springs, CO 80909-5320 | 2020-10-06 |
| 1548867112 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 3131 S Vaughn Way, Aurora, CO 80014-3511 | 2020-10-06 |
| 1366049934 | Amy Shandy, Speech-language Pathologist, LLC | Psychologist | 2233 Academy Pl Ste 201, Colorado Springs, CO 80909-1679 | 2020-10-06 |
| 1801493473 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 1301 Fortino Blvd, Pueblo, CO 81008-2032 | 2020-10-06 |
| 1538766100 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 | 2020-10-06 |
| 1265039838 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 917 E Moreno Ave Ste 150, Colorado Springs, CO 80903-4547 | 2020-10-06 |
| Street Address |
901 N SANTA FE AVE |
| City | FOUNTAIN |
| State | CO |
| Zip Code | 80817-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245771989 | Nicole Losse | Physical Therapist | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2017-03-14 |
| 1467050658 | Buck Jack LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-12 |
| 1790382364 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-06 |
| 1669079331 | Paige Alexis Thomas | Speech-Language Pathologist | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-06 |
| 1023624368 | Caitlyn Collins | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-22 |
| 1235745548 | Kimberly Mclaughlin | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-22 |
| 1366057689 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-14 |
| 1871108134 | Xavier Martinez | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-14 |
| 1558975029 | Buck Jack LLC | Psychologist | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-02 |
| 1356954424 | Buck Jack LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591037 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - Md, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1619581998 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - App, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1417519885 | Hannah Louise Fiser | Occupational Therapist | 901 N Santa Fe Ave., Fountain, CO 80817 | 2019-07-05 |
| 1780172858 | Alonna Ku | Dental Hygienist | 8085 Fountain Mesa Road, Fountain, CO 80817 | 2018-04-24 |
| 1902308489 | Scott R Mathis Maintenance & Construction | Contractor | 7046 Stowe Circle, Fountain, CO 80817 | 2018-03-01 |
| 1578078952 | Joanne Marie Ortega | Dental Laboratory Technician | 8296 Firecracker Trl, Fountain, CO 80817 | 2017-12-07 |
| 1174058176 | Amy Rapp | Psychologist | 6885 Mesa Ridge Parkway, # 141, Fountain, CO 80817 | 2017-04-27 |
| 1063954063 | Tracey Lynn Daniels | Physician Assistant | 10513 Wells Pt, Fountain, CO 80817 | 2016-11-08 |
| 1811440860 | Hanover Fire Protection District | Ambulance | 13325 Old Pueblo Road, Fountain, CO 80817 | 2016-07-26 |
| 1356704001 | Fountain Chiropractic and Wellness Center | Chiropractor | 468 N. Santa Fe Ave, Fountain, CO 80817 | 2016-03-31 |
| Find all providers in zip 80817 | ||||
| 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 |
|---|---|---|---|---|
| 1962890590 | Tiffany Rose Menzel | Behavioral Analyst | 926 Square Dance Ln, Fountain, CO 80817-4160 | 2015-01-06 |
| 1548670433 | Stacey Wilson | Behavioral Analyst | 8324 Cedar Chase Dr, Fountain, CO 80817-4030 | 2014-05-01 |
| 1093005001 | Nicole Shannon Herrera | Behavioral Analyst | 8319 Newbury Way, Fountain, CO 80817-4049 | 2011-04-11 |
| 1467050658 | Buck Jack LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-12 |
| 1790382364 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-06 |
| 1366057689 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-14 |
| 1356954424 | Buck Jack LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-08-28 |
| 1558972596 | Buck Jack LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-08-13 |
| 1104480904 | Skylar Nicole Hartsoch | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2019-04-26 |
| 1164807210 | Peak Potential Behavior & Wellness LLC | Behavioral Analyst | 8324 Cedar Chase Dr, Fountain, CO 80817-4030 | 2015-07-29 |
| Find all providers in FOUNTAIN | ||||
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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.