BRENNA LAUREN SHOCKLEY MILLS (NPI# 1376063420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376063420 |
| Entity Type | Individual |
| Full Name | BRENNA LAUREN SHOCKLEY MILLS |
| Practice Address |
10514 Racetrack Rd Ste G Berlin MD 21811-3241 |
| Practice Telephone | (410) 973-2301 |
| Practice Fax Number | 4109732305 |
| Mailing Telephone | 4109732301 |
| Mailing Fax Number | 4109732305 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 483106300 | 05 |
| Street Address |
10514 RACETRACK RD STE G |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1639707409 | Christopher Edward Wright | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2020-03-29 |
| 1356971766 | Bernard W Merritt II | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2020-01-24 |
| 1467090530 | Elinor M Howard | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2019-12-19 |
| 1972147536 | Devvon Jackson | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2019-11-06 |
| 1306480090 | Stephanie Barnes | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2019-11-05 |
| 1447894670 | Tammy Lou Shanks | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2019-10-31 |
| 1659914695 | Elizabeth Rose Sheats | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2019-10-22 |
| 1548803828 | Cherrohn Ross | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2019-10-19 |
| 1194366690 | Lisabeth Alice Wright | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2019-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1831636778 | Kelly Sullivan | Assistant Behavior Analyst | 273 Powell Cir, Berlin, MD 21811-1185 | 2017-01-30 |
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| 1205313210 | Shaleise Raschon Scott | Assistant Behavior Analyst | 4301 Forbes Blvd Ste B, Lanham, MD 20706-4446 | 2018-07-23 |
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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.