SHANNON KATHLEEN ELLIOTT (NPI# 1194383414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194383414 |
| Entity Type | Individual |
| Full Name | SHANNON KATHLEEN ELLIOTT |
| Practice Address |
18438 Talisman St Hesperia CA 92345-5253 |
| Practice Telephone | 7022750651 |
| Mailing Telephone | 7022750651 |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2019-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255602173 | Shannon Elliott | Social Worker | 5406 Ulloa Pl, Wilmington, NC 28412-2691 | 2012-01-24 |
| 1083194187 | Shannon Murphy Elliott | Speech-Language Pathologist | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2018-08-17 |
| 1073653804 | Shannon Lee Elliott | Licensed Practical Nurse | 4107 Richards Rd, North Little Rock, AR 72117-2653 | 2007-02-08 |
| 1063580884 | Shannon Elliott | Counselor | 200 Ter Heun Dr, Falmouth, MA 02540-2525 | 2006-12-01 |
| Street Address |
18438 TALISMAN ST |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| 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 |
|---|---|---|---|---|
| 1093314783 | Karen Davis | Behavior Technician | 13501 Somerset St, Hesperia, CA 92344-8434 | 2020-10-22 |
| 1336752245 | Daisy Lupe Anaya | Behavior Technician | 11959 11th Ave, Hesperia, CA 92345-1705 | 2020-08-28 |
| 1598378903 | Marilyn Huato | Behavior Technician | 14970 Mesa St, Hesperia, CA 92345-2262 | 2020-08-25 |
| 1750991253 | Iveth Yasmin Pimentel | Behavior Technician | 10233 5th Ave, Hesperia, CA 92345-2608 | 2020-08-09 |
| 1922620251 | Adriana Molnar | Behavior Technician | 17706 Mauna Loa St, Hesperia, CA 92345-5428 | 2020-05-08 |
| 1962021907 | Andy Guzman | Behavior Technician | 17728 Darwin St, Hesperia, CA 92345-5241 | 2020-04-09 |
| 1417583980 | Amanda Osorio | Behavior Technician | 17219 Sequoia St Apt 20, Hesperia, CA 92345-1413 | 2020-03-17 |
| 1679109292 | Berta Elena Rivas Sanchez | Behavior Technician | 8810 C Ave Apt 216, Hesperia, CA 92345-1572 | 2020-03-15 |
| 1538794847 | Isabel Saray Garcia | Behavior Technician | 10644 Portland Ave, Hesperia, CA 92345-2540 | 2020-03-06 |
| 1184254427 | Crystal Fisher | Behavior Technician | 13547 Mountain Dr, Hesperia, CA 92344-9627 | 2020-01-24 |
| Find all providers in HESPERIA | ||||
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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.