MIRONDA SHEPARD (NPI# 1235761487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235761487 |
| Entity Type | Individual |
| Full Name | MIRONDA SHEPARD |
| Practice Address |
2475 Windbreak Dr Alexandria VA 22306-2662 |
| Practice Telephone | 3017046990 |
| Mailing Telephone | 3017046990 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2475 WINDBREAK DR |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-2662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| 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 |
|---|---|---|---|---|
| 1447865696 | Aminata Banya Koroma | Behavior Technician | 6180 Grovedale Ct Ste 2006180, Alexandria, VA 22310-2552 | 2020-09-14 |
| 1073145157 | Stephanie Etienne | Behavior Technician | 2201 Mill Rd Apt 219, Alexandria, VA 22314-5312 | 2020-02-06 |
| 1699310094 | Abigail Chavez | Behavior Technician | 4850 Eisenhower Ave Unit 329, Alexandria, VA 22304-7325 | 2019-11-10 |
| 1295389732 | Katarzyna Piwek | Behavior Technician | 6281 Franconia Road, Suite B, Alexandria, VA 22310 | 2019-08-01 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1225699960 | Andrea Rivero | Behavior Technician | 3710 Towanda Rd, Alexandria, VA 22303-1039 | 2019-06-24 |
| 1831657543 | Gaby D. Arauco | Behavior Technician | 318 Montgomery St, Alexandria, VA 22314-1516 | 2019-03-12 |
| 1205393170 | Cinthya Beltran Calero | Behavior Technician | 701 N Paxton St, Alexandria, VA 22304-2737 | 2019-02-26 |
| 1023581469 | Zuzel Peraza | Behavior Technician | 4373 Raleigh Ave Apt 304, Alexandria, VA 22304-5353 | 2019-01-08 |
| 1750862488 | Modupe Korede | Behavior Technician | 6161 Edsall Rd Apt 505, Alexandria, VA 22304-4130 | 2018-08-21 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
Please comment or provide details below to improve the information on MIRONDA SHEPARD.
| 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.