SHELBY ZIEMKE (NPI# 1184273278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184273278 |
| Entity Type | Individual |
| Full Name | SHELBY ZIEMKE |
| Practice Address |
2510 Lakeland Ter Jackson MS 39216-4702 |
| Mailing Address |
Po Box 12347 Jackson MS 39236-2347 |
| Practice Telephone | 6019827827 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 640817401 | MS | Behavioral Health & Social Service Providers |
| Street Address |
2510 LAKELAND TER |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366995532 | Elizabeth Lowry | Behavioral Analyst | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2016-07-25 |
| 1841835667 | Lauren E Bell | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-11-15 |
| 1215572581 | Spectrum Academy | Clinic/Center | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-11-11 |
| 1386285765 | Danny J Olmi | Psychologist | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-10-07 |
| 1881244416 | Carrie Case Adams | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-09-16 |
| 1104475854 | Artesia Richmond | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-09-05 |
| 1336797372 | Deyanna Buckner | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-09-03 |
| 1053969097 | Melissa Southall Broome | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-09-03 |
| 1063068724 | Lauren Layman | Behavioral Analyst | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-08-17 |
| 1598322851 | Jasmine Allen | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| 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 |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1235748013 | Joshua Khon | Behavior Technician | 916 N West Ave, Jackson, MI 49202-3243 | 2020-07-28 |
| 1154946275 | Mark Truman Read | Behavior Technician | 950 W Monroe St Ste G600, Jackson, MI 49202-2171 | 2020-06-15 |
| 1144863986 | Cindy Lynn Ward | Behavior Technician | 1029 N Main St Apt 17, Jackson, CA 95642-9585 | 2019-10-24 |
| 1023660446 | Tamisha Nicole Etchison | Behavior Technician | 916f N West Ave Ste F, Jackson, MI 49202-3269 | 2019-07-16 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1588154413 | Robin Mccollough Smith | Behavior Technician | 295 Rancher St Apt 4, Jackson, WY 83001-8052 | 2018-05-16 |
| 1336655349 | Karen Horton | Behavior Technician | 425 Dalton Rd, Jackson, MI 49201-8828 | 2017-12-28 |
| 1508396862 | Renita D Reed | Behavior Technician | 1301 Jones Ave, Jackson, MS 39204-2737 | 2017-06-19 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| Find all providers in JACKSON | ||||
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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.