SHONETTA RUSSELL (NPI# 1437665254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437665254 |
| Entity Type | Individual |
| Full Name | SHONETTA RUSSELL |
| Practice Address |
4016 Raintree Rd Ste 200a Chesapeake VA 23321-3757 |
| Mailing Address |
34148 S Quay Rd Franklin VA 23851-4200 |
| Practice Telephone | 7574653933 |
| Mailing Telephone | 7576534892 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | VA | Behavioral Health & Social Service Providers |
| Street Address |
4016 RAINTREE RD STE 200A |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1043741499 | Sarah Alford | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321-3757 | 2017-03-27 |
| 1558801514 | Catherine Elizabeth Barton | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321-3757 | 2017-02-24 |
| 1730623422 | Catherine Zydlewski | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321-3757 | 2016-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| 1548697253 | Brian R Hermann | Case Manager/Care Coordinator | 3537 Forest Haven Ln, Chesapeake, VA 23321 | 2013-09-26 |
| Find all providers in zip 23321 | ||||
| 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 |
|---|---|---|---|---|
| 1124634084 | Jennifer Wheeler | Behavior Technician | 325 Woodards Ford Rd, Chesapeake, VA 23322-4348 | 2020-09-16 |
| 1215540158 | Jordan Louk | Behavior Technician | 1044 Wickford Ct, Chesapeake, VA 23320-6629 | 2020-08-30 |
| 1346852811 | Thelma K Boykins | Behavior Technician | 648 Independence Pkwy Ste C, Chesapeake, VA 23320-5206 | 2020-08-17 |
| 1184267015 | Joana Ramirez | Behavior Technician | 640 Independence Pkwy Ste 400, Chesapeake, VA 23320-5205 | 2019-10-23 |
| 1033762661 | Trey Jones | Behavior Technician | 1526 Plantation Lakes Cir, Chesapeake, VA 23320-8114 | 2019-07-23 |
| 1225698871 | Jemeisha Shavonne Chase | Behavior Technician | 212 Ridgecrest Pl, Chesapeake, VA 23320-3943 | 2019-06-17 |
| 1154898278 | Kristen Grilli | Behavior Technician | 709 Quince Pl, Chesapeake, VA 23320-0769 | 2018-10-26 |
| 1245725001 | Bryson Turner | Behavior Technician | 3105 American Legion Rd Ste D, Chesapeake, VA 23321-5653 | 2018-06-25 |
| 1336647254 | Joy Ese Owolade | Behavior Technician | 918 Brigantine Ct, Chesapeake, VA 23320-9437 | 2018-01-25 |
| 1023525052 | Abigail Butler Suitor | Behavior Technician | 4225 Portsmouth Blvd, Chesapeake, VA 23321-2154 | 2017-12-28 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
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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.