SHELBY DALE JOHNSON (NPI# 1316585698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316585698 |
| Entity Type | Individual |
| Full Name | SHELBY DALE JOHNSON |
| Credential | BCBA |
| Practice Address |
807 Henderson Ave Orange TX 77630-6325 |
| Practice Telephone | 4098771091 |
| Practice Fax Number | 4098771092 |
| Mailing Telephone | 4098771091 |
| Mailing Fax Number | 4098771092 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-38040 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900098 | Shelby Sanya Johnson | Student in an Organized Health Care Education/Training Program | 102 Lexibelle Dr, Columbia, MO 65201-2831 | 2020-04-15 |
| 1164060612 | Shelby Morgan Johnson | Developmental Therapist | 11 Argyle St, Andover, MA 01810-2706 | 2019-12-16 |
| 1972085900 | Shelby Johnson | Licensed Practical Nurse | 4219 State Route 3, Fulton, NY 13069-3640 | 2018-09-06 |
| 1457864985 | Shelby Bowman Johnson | Physician Assistant | 2410 Patterson St Bsmt Level, Nashville, TN 37203-1551 | 2017-11-06 |
| 1780959171 | Shelby Johnson | Anesthesiology | 215 Wadsworth Drive, Richmond, VA 23236 | 2012-03-19 |
| 1578162046 | Shelby Johnson | Nurse Practitioner | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2020-10-25 |
| 1700429214 | Shelby Johnson | Social Worker | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2019-10-28 |
| 1366091811 | Shelby Johnson | Social Worker | 350 Elk St, Rapid City, SD 57701-7351 | 2019-09-07 |
| 1366000853 | Shelby A Johnson | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2019-05-30 |
| 1336608009 | Shelby Lee Johnson | Nurse Practitioner | 6048 Estate Castle Coakley, Christiansted, VI 00820 | 2019-03-13 |
| Street Address |
807 HENDERSON AVE |
| City | ORANGE |
| State | TX |
| Zip Code | 77630-6325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194959593 | Eryn M Lucas | Psychologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2009-05-13 |
| 1790305969 | Alyssa B Gilman | Speech-Language Pathologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2020-04-17 |
| 1043865736 | Tina Maria Smith | Counselor | 807 Henderson Ave, Orange, TX 77630-6325 | 2019-08-08 |
| 1871025759 | Martha Hale | Behavioral Analyst | 807 Henderson Ave, Orange, TX 77630 | 2017-03-30 |
| 1467983031 | Team Elevate, LLC | Counselor | 807 Henderson Ave, Orange, TX 77630-6325 | 2017-03-24 |
| 1588100309 | Queamani Mickens | Psychologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2017-01-18 |
| 1386195121 | Family & Psychological Center | Psychologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2016-10-17 |
| 1881140986 | Navicare, LLC | Case Management | 807 Henderson Ave, Orange, TX 77630-6325 | 2016-08-29 |
| 1306110879 | Joyce Glyn Moore | Counselor | 807 Henderson Ave, Orange, TX 77630-6325 | 2012-03-01 |
| 1467743385 | Amanda Gail Adams | Occupational Therapist | 807 Henderson Ave, Orange, TX 77630-6325 | 2011-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685159 | Healthcare Warehouse, LLC | Durable Medical Equipment & Medical Supplies | 3515 Mockingbird St. Ste C, Orange, TX 77630 | 2014-02-19 |
| 1346688637 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1302 Cypress St., Orange, TX 77630 | 2013-06-07 |
| 1740567510 | Mary Cannatella | Pharmacist | 1408 16th Street, Orange, TX 77630 | 2011-11-08 |
| 1811292642 | Inlightened Safe Haven | Contractor | 828 Nth 28th St., Orange, TX 77630 | 2011-01-26 |
| 1437472107 | Frank's Medical Mart, Inc | Durable Medical Equipment & Medical Supplies | 1619 Strickland Dr, Orange, TX 77630 | 2010-03-09 |
| 1952427403 | Assisted Living Concepts Inc | Assisted Living Facility | 5301 Meeks Drive, Orange, TX 77630 | 2007-03-22 |
| 1013033364 | Ronda Lynn Hathaway | Psychologist | 2495 N Mlk Dr, Orange, TX 77630 | 2007-03-21 |
| 1487790333 | The Eye Place, Inc. | Eyewear Supplier (Equipment, not the service) | 1502 Strickland Dr Ste 2, Orange, TX 77630 | 2007-01-29 |
| 1538220710 | Sheila R Cole | Nurse Practitioner | 2014 N.10th St., Orange, TX 77630 | 2006-12-12 |
| 1063583896 | Nina P Scales Leifeste | Dentist | 1509 Burton, Orange, TX 77630 | 2006-11-13 |
| Find all providers in zip 77630 | ||||
| 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 |
|---|---|---|---|---|
| 1467911362 | Annie Bang Anh Nguyen | Behavioral Analyst | 1407 N Batavia St Ste 219, Orange, CA 92867-3525 | 2019-03-19 |
| 1629536701 | Cindy Diaz | Behavioral Analyst | 410 E. Katella, Orange, CA 92867 | 2019-03-07 |
| 1740765379 | Erika Espinoza | Behavioral Analyst | 13102 Simmons Ave, Orange, CA 92868 | 2018-09-28 |
| 1033603980 | Jesse O'neil | Behavioral Analyst | 625 The City Dr S # 129, Orange, CA 92868-4924 | 2018-06-14 |
| 1104319995 | Learning Beyond The Spectrum | Behavioral Analyst | 1439 W Chapman Ave # 172, Orange, CA 92868-2738 | 2018-06-07 |
| 1750886354 | Sande Rhee | Behavioral Analyst | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2018-03-26 |
| 1508372442 | Nicole Timoti | Behavioral Analyst | 1235 W Town and Country Rd Apt 3305, Orange, CA 92868-4672 | 2017-12-14 |
| 1679083752 | Catherine Mollengarden | Behavioral Analyst | 368 Miles Rd, Orange, CT 06477-3310 | 2017-10-03 |
| 1316499908 | Alexandra Carbayo | Behavioral Analyst | 4439 E Euclid Ave, Orange, CA 92869-2903 | 2016-10-29 |
| 1386097020 | Cheryl E Robinson-parris | Behavioral Analyst | 553 Argyle Ave, Orange, NJ 07050-1005 | 2016-07-18 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on SHELBY DALE JOHNSON.
| 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.