SHIRLEY WILLIAMS (NPI# 1538720180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538720180 |
| Entity Type | Individual |
| Full Name | SHIRLEY WILLIAMS |
| Practice Address |
3568 Geraghty Ave Fairbanks AK 99709-4701 |
| Practice Telephone | 9073747001 |
| Practice Fax Number | 9073747008 |
| Mailing Telephone | 9073747001 |
| Mailing Fax Number | 9073747008 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-87746 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1417451311 | Shirley Williams | Nursing Care | 4024 Eastridge Cir, Pompano Beach, FL 33064-1842 | 2018-03-23 |
| 1942714605 | Shirley Ann Williams | Assisted Living Facility | 900 W Residence Ave, Albany, GA 31701-1783 | 2017-11-16 |
| 1568999142 | Shirley Williams | Counselor | 7921 Bullard Ave Ste 2c, New Orleans, LA 70128-1186 | 2017-05-15 |
| 1194995472 | Shirley Ann Williams | Counselor | 3750 Meadowview Road Apt A-1, Lumberton, NC 28358 | 2008-03-03 |
| 1073663837 | Shirley Holly Williams | Dentist | 12920 W Parmer Ln, Suite 101, Cedar Park, TX 78613 | 2007-01-11 |
| 1801952759 | Shirley Minerva Williams | Social Worker | 9405 Larkdale Terrace, Fairfax, VA 22039-3136 | 2006-12-28 |
| 1497302251 | Shirley Williams | Technician | 2770 S Maryland Pkwy Ste 108, Las Vegas, NV 89109-1564 | 2019-08-26 |
| 1720505332 | Shirley Ann Williams | Technician/Technologist | 12917 Cerise Ave, Hawthorne, CA 90250-5520 | 2017-08-24 |
| 1992232763 | Shirley Williams | Behavior Technician | 809 Sw 89th St, Suite C, Oklahoma City, OK 73139-9360 | 2017-05-11 |
| Street Address |
3568 GERAGHTY AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427360411 | Step-in Autism Services of Alaska, L.L.C. | Behavioral Analyst | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2010-07-08 |
| 1649871468 | Jay Baxter | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2020-11-06 |
| 1417572140 | Marissa Mcirvin | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2020-06-09 |
| 1427682681 | Emily Walker | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2020-02-26 |
| 1740833789 | Adrianna Mailyn Freeman | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2019-07-18 |
| 1104383769 | Brian Schmitt | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2019-03-01 |
| 1447729702 | Breann Baker | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2018-11-15 |
| 1982173431 | Joseph Torma | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2018-11-14 |
| 1154890606 | Grace Garcia | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2018-11-14 |
| 1265916969 | Colleen Hasbrouck | Behavior Technician | 3568 Geraghty Ave, Fairbanks, AK 99709-4701 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| 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 |
|---|---|---|---|---|
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1831708932 | Bessie Ann Olney | Behavior Technician | 996 Eastwood Ln, Fairbanks, AK 99712-2138 | 2020-07-24 |
| 1851916480 | Zachary Vehmeier | Behavior Technician | 831 3rd Ave, Fairbanks, AK 99701-4456 | 2020-06-09 |
| 1912548074 | Leila Mecklenburg | Behavior Technician | 1976 September Ct, Fairbanks, AK 99709-6274 | 2019-09-30 |
| 1295376358 | Angela Nicole Byrd | Behavior Technician | 1600 Washington Dr Apt A3, Fairbanks, AK 99709-5006 | 2019-09-30 |
| 1851949614 | Bhawana Ghimire | Behavior Technician | 3010 Davis Rd Apt B44, Fairbanks, AK 99709-6905 | 2019-08-26 |
| 1801440730 | Lakesha Renee Nunley | Behavior Technician | 4761 Glasgow Dr, Fairbanks, AK 99709-2911 | 2019-07-29 |
| 1073167128 | Paris C Barnes-olson | Behavior Technician | 1700 Willow St Apt 8, Fairbanks, AK 99709-4185 | 2019-07-26 |
| 1992357081 | Alejandrina Maria Mallet | Behavior Technician | 772 Karluk Ct, Fairbanks, AK 99701-1407 | 2019-07-10 |
| 1710494653 | Julie A Chavez | Behavior Technician | 102 Allegheny Way, Fairbanks, AK 99709-3026 | 2017-12-31 |
| Find all providers in FAIRBANKS | ||||
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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.