SHARELL ROCK (NPI# 1558975409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558975409 |
| Entity Type | Individual |
| Full Name | SHARELL ROCK |
| Practice Address |
2225 Bemiss Rd Ste D Valdosta GA 31602-4819 |
| Practice Telephone | 8008329419 |
| Mailing Telephone | 8008329419 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2225 BEMISS RD STE D |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636329 | Crystal Adcock | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2017-08-28 |
| 1033718291 | Anieyssa Dickson | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-10-20 |
| 1871192278 | Janelle Vega | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-10-19 |
| 1598364994 | Cristina Roberson Perez | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-10-19 |
| 1275149031 | Alona Jones Robinson | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-09-17 |
| 1366056384 | Wanda Pritchett | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-09-08 |
| 1508470105 | Hannah Diane Schmitt | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-09-02 |
| 1790399392 | Jordan Harris | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-09-02 |
| 1750991907 | Apoorva Dasyam | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-08-03 |
| 1194334904 | Sara Ford | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942836051 | Tristen Breann Tiller | Behavioral Analyst | 3121 N Oak Street Ext, Valdosta, GA 31602-1099 | 2020-03-20 |
| 1780246298 | Madison Lynn Hepburn | Behavioral Analyst | 807 N Patterson St, Valdosta, GA 31601-4528 | 2019-07-03 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1033636329 | Crystal Adcock | Behavioral Analyst | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2017-08-28 |
| 1194170712 | Susan Bradley | Behavioral Analyst | 1951 Seminole Dr, Valdosta, GA 31601-0329 | 2016-05-02 |
| 1922437649 | Ginger Sunbom | Behavioral Analyst | 4810 Mcallister St, Valdosta, GA 31605-6362 | 2013-11-04 |
| 1134553985 | Compass Behavioral & Developmental Consultants LLC | Behavioral Analyst | 2935 N Ashley St Ste 112, Valdosta, GA 31602-1788 | 2013-08-29 |
| 1427392240 | Lyndon Peter Delrosario | Behavioral Analyst | 2225 Bemiss Rd, Suite D, Valdosta, GA 31602-4818 | 2012-11-16 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1962708958 | Jody Martin | Behavioral Analyst | 2823 Bud Mckey Circle, Valdosta, GA 31602 | 2011-02-08 |
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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.