MS. MISTY SHEA FOX (NPI# 1588225551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588225551 |
| Entity Type | Individual |
| Full Name | MS. MISTY SHEA FOX |
| Practice Address |
3101 N Canterbury Ct Bloomington IN 47404-1500 |
| Mailing Address |
12650 Hamilton Crossing Blvd Carmel IN 46032-5400 |
| Practice Telephone | 3172492242 |
| Practice Fax Number | 3176631175 |
| Mailing Telephone | 3172492242 |
| Mailing Fax Number | 3176631175 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-34478 | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679895981 | Misty Dawn Fox | Nurse's Aide | 7117 County Road 59 Lot 129, Mansfield, OH 44904-8512 | 2010-02-28 |
| Street Address |
3101 N CANTERBURY CT |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316461692 | Autumn Elizabeth Lucero | Behavioral Analyst | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2017-07-28 |
| 1407471832 | Ashlynn Carmichael | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2020-06-11 |
| 1124643556 | Brianne Jackson | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2020-06-11 |
| 1679198006 | Lauryn Hunter | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2020-06-11 |
| 1275158875 | Alyson Ferguson | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2020-06-10 |
| 1487279915 | Ashton Gordon | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2020-06-10 |
| 1710542360 | Molly A Mcgow | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2019-05-08 |
| 1164087714 | Madolyn P Hodges | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2019-05-08 |
| 1063077618 | Jaclyn Combs | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2019-05-08 |
| 1306401963 | Zach W Jetter | Behavior Technician | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2019-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| 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 |
|---|---|---|---|---|
| 1346874617 | Amanda Lamp, Msw | Behavioral Analyst | 3030 S Inverness Farm Rd, Bloomington, IN 47401-9110 | 2020-02-26 |
| 1932730033 | Konnor Graber | Behavioral Analyst | 1711 N College Ave Ste 101, Bloomington, IN 47404-2450 | 2020-01-28 |
| 1659910578 | Infinite Transitions Project, LLC | Behavioral Analyst | 6008 Tower Rd, Bloomington, IN 47403-9057 | 2019-12-23 |
| 1023653235 | Ellen L Davidson | Behavioral Analyst | 3013 S Stratford Dr, Bloomington, IN 47401-4356 | 2019-11-12 |
| 1205479326 | Brenda Kiberu-kalema | Behavioral Analyst | 9024 Vincent Ave S, Bloomington, MN 55431-2154 | 2019-10-21 |
| 1174092076 | Molly Diane Ellis | Behavioral Analyst | 450 S Landmark Ave, Bloomington, IN 47403-5000 | 2018-11-20 |
| 1023583986 | Sara Getz | Behavioral Analyst | 2405 General Electric Rd Ste 1, Bloomington, IL 61704-8596 | 2018-10-08 |
| 1114426723 | Edward L Mccracken | Behavioral Analyst | 2405 General Electric Rd Ste 4, Bloomington, IL 61704-8597 | 2018-02-09 |
| 1316461692 | Autumn Elizabeth Lucero | Behavioral Analyst | 3101 N Canterbury Ct, Bloomington, IN 47404-1500 | 2017-07-28 |
| 1912446451 | Jacob Beduna | Behavioral Analyst | 500 S Morton St, Suite 010, Bloomington, IN 47403-2460 | 2017-02-16 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
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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.