SHELBY CLEMMER (NPI# 1467975102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467975102 |
| Entity Type | Individual |
| Full Name | SHELBY CLEMMER |
| Practice Address |
2 Harbison Way Columbia SC 29212 |
| Mailing Address |
181 W Professional Park Ct Ste 1 Bowling Green KY 42104-3250 |
| Practice Telephone | 8036810816 |
| Mailing Telephone | 2707779283 |
| Mailing Fax Number | 2707779283 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-27411 | SC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1048 Wildwood Centre Dr, Columbia, SC 292298420 | 8039993752 | 8039054431 |
| Street Address |
2 HARBISON WAY |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554953 | Victoria Vandeusen | Behavior Technician | 2 Harbison Way, Columbia, SC 29212-3402 | 2018-07-09 |
| 1558857227 | Suzanne Blais | Behavior Technician | 2 Harbison Way, Columbia, SC 29212-3402 | 2018-07-06 |
| 1033605761 | Niles Drasites | Behavior Technician | 2 Harbison Way, Columbia, SC 29212-3402 | 2018-07-05 |
| 1174019830 | Sarah Elizabeth Cockrell | Behavior Technician | 2 Harbison Way, Columbia, SC 29212-3402 | 2018-07-05 |
| 1689160392 | Mattavia Blackwell | Behavior Technician | 2 Harbison Way, Columbia, SC 29212-3402 | 2018-07-05 |
| 1164917555 | Amber Powell | Behavioral Analyst | 2 Harbison Way, Columbia, SC 29212-3402 | 2018-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| 1366531055 | Irmo Family Pharmacy LLC | Pharmacy | 7001 St Andrews Rd, A-16, Columbia, SC 29212 | 2006-10-12 |
| Find all providers in zip 29212 | ||||
| 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 |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1104423029 | Khashema Boyer | Behavior Technician | 8950 Rte 108 Ste 123, Columbia, MD 21045-2146 | 2020-10-04 |
| 1689281974 | Shalexis Wilson | Behavior Technician | 10360 Swift Stream Pl Apt 412, Columbia, MD 21044-4943 | 2020-09-30 |
| 1144834219 | Hanna Doherty | Behavior Technician | 350 Taylor St Unit G, Columbia, SC 29201-2292 | 2020-09-04 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1346859048 | Jessica Jane Russell | Behavior Technician | 1107 Carrie Bolin Dr, Columbia, KY 42728-1034 | 2020-07-28 |
| 1235748914 | Heather Marie Merchant | Behavior Technician | 5682 Stevens Forest Rd Apt 44, Columbia, MD 21045-3312 | 2020-07-28 |
| 1720606155 | Jennifer Michelle Cundiff | Behavior Technician | 309 Hurt St Apt 202, Columbia, KY 42728-2303 | 2020-07-13 |
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| Find all providers in COLUMBIA | ||||
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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.