SHANNON WORDEN (NPI# 1487253340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487253340 |
| Entity Type | Individual |
| Full Name | SHANNON WORDEN |
| Practice Address |
4246 Jeffery Rd Harrison MI 48625-8689 |
| Practice Telephone | 9894188069 |
| Mailing Telephone | 9894188069 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 635765585584 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790261543 | Shannon Lynn Worden | Nurse Practitioner | 35 Empire State Blvd, Castleton, NY 12033-9777 | 2018-07-16 |
| Street Address |
4246 JEFFERY RD |
| City | HARRISON |
| State | MI |
| Zip Code | 48625-8689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730679424 | Bobbiejo M Briggs | Licensed Practical Nurse | 6197 Maple Trail, Harrison, MI 48625 | 2018-05-17 |
| 1235653635 | Ashley Eileen Angerer-blunt | Social Worker | 789 North Clare Avenue, Po Box 817, Harrision, MI 48625 | 2017-07-28 |
| 1033651088 | Northern Star Transportation Inc. | Non-emergency Medical Transport (VAN) | 4036 Oak Flats Rd, Harrison, MI 48625 | 2016-11-08 |
| 1174748651 | Joni Marie Haley Ashcroft | Chiropractor | 190 S.second St., Harrison, MI 48625 | 2007-04-17 |
| 1003905241 | Bradley James Boulton | Chiropractor | 190 S Second St, Harrison, MI 48625 | 2006-10-12 |
| 1376643320 | Mitchell L. Mcmillan | Physical Therapist | 158 N 1st St, Suite D, Harrison, MI 48625 | 2006-09-22 |
| 1932208071 | Brooke W. Loucks | Physical Therapist | 158 North 1st Street, Suite D, Harrison, MI 48625 | 2006-09-22 |
| 1962515809 | Evergreen Physical Therapy Limited Partnership | Clinic/Center | 158 North First Street, Suite D, Harrison, MI 48625 | 2006-08-16 |
| 1316982465 | United Rescue Service | Ambulance | 229 W Beech St, Harrison, MI 48625 | 2006-06-20 |
| 1699763979 | Stephen C Mcclintic | Optometrist | 444 South First St, Harrison, MI 48625 | 2005-10-11 |
| Find all providers in zip 48625 | ||||
| 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 |
|---|---|---|---|---|
| 1437647674 | Michael Kirkham | Behavior Technician | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2018-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194365 | Melissa Krzysik | Behavior Technician | 634 Parkside Ct, Chelsea, MI 48118-2126 | 2020-11-03 |
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1518568112 | Makayla Randall | Behavior Technician | 215 E Congress St, Caro, MI 48723-1800 | 2020-11-02 |
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1962001685 | Taylor Angel Smith | Behavior Technician | 669 Murner Rd, Gaylord, MI 49735-9357 | 2020-10-23 |
| 1669071635 | Kaley Jo Belton | Behavior Technician | 11165 E Dr S, Ceresco, MI 49033-9788 | 2020-10-21 |
| 1427657451 | Connor Matthew Wright | Behavior Technician | 326 S Waverly Rd, Eaton Rapids, MI 48827-9241 | 2020-10-21 |
| 1750980736 | Lucas Mccarry | Behavior Technician | 1821 Valley View Rd, Boyne Falls, MI 49713-9794 | 2020-10-21 |
| 1215536487 | Megan Fenstermaker | Behavior Technician | 6691 W Brady Rd, Onaway, MI 49765-8526 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.