SHELBY ELLIOTT (NPI# 1417583139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417583139 |
| Entity Type | Individual |
| Full Name | SHELBY ELLIOTT |
| Credential | RBT |
| Practice Address |
6761 Stage Rd Bartlett TN 38134-3867 |
| Practice Telephone | 9013798827 |
| Practice Fax Number | 9012446153 |
| Mailing Telephone | 9013798827 |
| Mailing Fax Number | 9012446153 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-112963 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BACB- REGISTERED BEHAVIOR TECHNICIAN | RBT-20-112963 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013454438 | Shelby Elliott | Respite Care | 1634 Jim Bridger Ave, Casper, WY 82604-3121 | 2017-01-23 |
| Street Address |
6761 STAGE RD |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639392046 | Tracy Leane Palm | Behavioral Analyst | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2007-04-11 |
| 1982211660 | Kyle Golden | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-09-28 |
| 1003423781 | Phillip Pearce | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-09-28 |
| 1295342954 | Stephanie Melnyk | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-09-28 |
| 1548881881 | Torris Renard Seay Jr. | Behavioral Analyst | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-04-28 |
| 1457987745 | Alexa Minjarez | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-03-18 |
| 1063048726 | Jacaynlene Young | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-03-13 |
| 1730715483 | Natalie Stewart | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-03-13 |
| 1336775071 | Adrianne Yarbrough | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-03-13 |
| 1871050047 | Joshua Thomas Bailey | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2019-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| 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 |
|---|---|---|---|---|
| 1447718093 | Prerna K Sharma | Behavior Technician | 220 Primrose Ln, Bartlett, IL 60103-2302 | 2019-03-03 |
| 1982211660 | Kyle Golden | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-09-28 |
| 1003423781 | Phillip Pearce | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-09-28 |
| 1295342954 | Stephanie Melnyk | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-09-28 |
| 1457987745 | Alexa Minjarez | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-03-18 |
| 1063048726 | Jacaynlene Young | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-03-13 |
| 1730715483 | Natalie Stewart | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-03-13 |
| 1336775071 | Adrianne Yarbrough | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-03-13 |
| 1871050047 | Joshua Thomas Bailey | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2019-02-25 |
| 1639654767 | Eyrial Hearns | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2018-09-25 |
| Find all providers in BARTLETT | ||||
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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.