SHELLY PASSMANN (NPI# 1295332997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295332997 |
| Entity Type | Individual |
| Full Name | SHELLY PASSMANN |
| Practice Address |
1519 York Rd Lutherville MD 21093-5611 |
| Mailing Address |
27777 Inkster Rd Ste 100 Farmington Hills MI 48334-5326 |
| Practice Telephone | 2482990030 |
| Mailing Telephone | 2484364366 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| 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 |
1519 YORK RD |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841293 | Seblewongel Gorfu | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-11-06 |
| 1598362691 | Kori Baltimore | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-10-02 |
| 1912514290 | Christopher Lawrence | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-09-30 |
| 1487268025 | Eric Rose | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-09-01 |
| 1407469372 | Lisa Cook | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-08-28 |
| 1386256436 | Kelley Calvin | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-08-20 |
| 1114537958 | Roberta Bell | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-08-06 |
| 1831709674 | Alexis Phillips | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-08-06 |
| 1093102782 | Timothy Onyiuke | General Practice | 1519 York Rd, Lutherville, MD 21093-5611 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| 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 |
|---|---|---|---|---|
| 1346841293 | Seblewongel Gorfu | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-11-06 |
| 1598362691 | Kori Baltimore | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-10-02 |
| 1912514290 | Christopher Lawrence | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-09-30 |
| 1669089991 | Imani Sanchez | Behavior Technician | 1400 Broadway Rd, Lutherville, MD 21093-1503 | 2020-09-30 |
| 1831706167 | Christopher Rogers | Behavior Technician | 1400 Broadway Rd, Lutherville, MD 21093-1503 | 2020-09-30 |
| 1487268025 | Eric Rose | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-09-01 |
| 1407469372 | Lisa Cook | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-08-28 |
| 1386256436 | Kelley Calvin | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-08-20 |
| 1215547807 | Inaya Jones | Behavior Technician | 1400 Broadway Rd, Lutherville, MD 21093-1503 | 2020-08-07 |
| 1114537958 | Roberta Bell | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-08-06 |
| Find all providers in LUTHERVILLE | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
Please comment or provide details below to improve the information on SHELLY PASSMANN.
| 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.