SHANNON RUSSELL


Address: 1519 Baxter Ave, Louisville, KY 40205-1008
Phone: 5024097181

SHANNON RUSSELL (NPI# 1437510005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437510005
Entity Type Individual
Full Name SHANNON RUSSELL
Credential LBA
Practice Address 1519 Baxter Ave
Louisville
KY 40205-1008
Practice Telephone 5024097181
Practice Fax Number 8884500935
Mailing Telephone 5024097181
Mailing Fax Number 8884500935
Enumeration Date 2016-03-10
Last Update Date 2016-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst ABALBA00225141 KY Behavioral Health & Social Service Providers

Other Providers SHANNON RUSSELL

NPI Name Taxonomy Address Enumeration
1124635727 Shannon Russell Physical Therapist 4649 Sunnyside Ave N Ste 302, Seattle, WA 98103-6955 2020-09-28
1770138406 Shannon M Russell Registered Nurse 345 Vigue Rd, Whitefield, ME 04353-3013 2019-08-08
1578923793 Shannon Russell Developmental Therapist 500 Fairway Dr Ste 120, Deerfield Beach, FL 33441-1814 2016-03-01
1346647351 Shannon Louise Russell Clinic/Center 12611 Hymeadow Dr., Austin, TX 78729 2014-11-20
1366858557 Shannon Rebecca Russell Social Worker 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 2014-07-08
1770705311 Shannon Russell Dentist 2720 Highway 4, Arnold, CA 95223 2007-05-03
1790250504 Shannon Russell Case Manager/Care Coordinator 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 2018-10-08
1790273647 Shannon D Russell Social Worker 1406 Main St, East Hartford, CT 06108-1684 2018-04-26
1780061697 Shannon Raye Russell Occupational Therapist 1515 Holcombe Blvd, Unit 98, Houston, TX 77030 2015-04-29
1265833909 Shannon Russell Nurse Practitioner 1001 E Primrose St, Springfield, MO 65807-5155 2014-09-12

Office Location

Street Address 1519 BAXTER AVE
City LOUISVILLE
State KY
Zip Code 40205-1008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225429152 Brandon Franklin Behavioral Analyst 1519 Baxter Ave, Louisville, KY 40205-1008 2015-02-13
1932565710 Jennifer Schulte Behavioral Analyst 1519 Baxter Ave, Louisville, KY 40205-1008 2016-01-08
1447625389 Dyan Hyman Behavioral Analyst 1519 Baxter Ave, Louisville, KY 40205-1008 2015-12-03
1407225881 Tracie Anderson Behavioral Analyst 1519 Baxter Ave, Louisville, KY 40205-1008 2015-09-16
1023484474 Regina Bramer Wheatley Social Worker 1519 Baxter Ave, Louisville, KY 40205-1008 2015-08-19
1922490515 Emily Overstreet Behavioral Analyst 1519 Baxter Ave, Louisville, KY 40205-1008 2015-02-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558844027 Arthur James Shulthise Jr. Family Medicine Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 2018-09-11
1609392133 Leah Elizabeth Storch Occupational Therapist 2231 Wendell Ave, Louisville, KY 40205 2017-08-16
1437679842 Michael Edward Lovelace Family Medicine 1800 Stevens Avenue, Louisville, KY 40205 2017-06-27
1699205328 Nathaniel George Kennedy Physician Assistant 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 2017-06-14
1225584972 Kalpana Bhaskar Pharmacist 3036 Bardstown Road, Louisville, KY 40205 2016-08-31
1013398627 William Wood Hearing Instrument Specialist 2239 Bardstown Rd., Louisville, KY 40205 2015-06-10
1811306707 Alaina Rotelli Pharmacist 2100 Gardiner Lane, Louisville, KY 40205 2014-08-05
1013325760 Jaime Alexandra Seelmeyer Counselor 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 2014-07-25
1992009336 Priscilla Freeman Case Manager/Care Coordinator 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 2010-12-28
1457501413 Amanda Christine Voils-levenda Psychologist 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 2008-09-26
Find all providers in zip 40205

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093315897 Ashley Wagner Behavioral Analyst 9905 Timberview Way, Louisville, KY 40223-3559 2020-10-29
1962009910 Peta Lorraine St Clair Kimber Behavioral Analyst 1230 Liberty Bank Ln Ste 230, Louisville, KY 40222-5756 2020-10-02
1386254571 Kari Marie Woods Behavioral Analyst 1230 Liberty Bank Ln, Louisville, KY 40222-5756 2020-08-03
1861970527 Courtney Taylor Mcintyre Behavioral Analyst 9900 Shelbyville Rd Ste 11b, Louisville, KY 40223-2965 2018-08-03
1043702905 Stacey Renee Shinn Behavioral Analyst 3322 Noe Way Apt 1, Louisville, KY 40220-1861 2018-06-05
1740792746 Paola Romero Behavioral Analyst 912 Lily Creek Rd Ste 103, Louisville, KY 40243-2815 2017-10-30
1417473315 Robin Jones Behavioral Analyst 800 W. Woodlawn Ave, Louisville, KY 40215 2017-08-22
1750802161 Enrich Educational & Behavioral Services Behavioral Analyst 1709 Bonnycastle Ave, Louisville, KY 40205-1014 2017-07-06
1508316860 Ashley Shaw Behavioral Analyst 1448 Gardiner Ln Ste 202, Louisville, KY 40213-1982 2016-10-11
1821543141 Clinical Behavior Analysis Behavioral Analyst 1601 Rosewood Ave, Louisville, KY 40204-1327 2016-08-16
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40205

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Dataset Information

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.

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