SHANNON KJELLENBERG (NPI# 1609406958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609406958 |
| Entity Type | Individual |
| Full Name | SHANNON KJELLENBERG |
| Practice Address |
1000 Sunnyside Ave Lawrence KS 66045-7599 |
| Practice Telephone | 7858644840 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1000 SUNNYSIDE AVE |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66045-7599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760674808 | Eric Morrison Vernberg | Psychologist | 1000 Sunnyside Ave, Clinical Child Psychology Program, Lawrence, KS 66045-7555 | 2007-08-13 |
| 1164020277 | April Makara | Behavior Technician | 1000 Sunnyside Ave, Lawrence, KS 66045-7599 | 2020-10-12 |
| 1881200228 | Stacha Vera | Behavioral Analyst | 1000 Sunnyside Ave, Lawrence, KS 66045-7599 | 2020-09-21 |
| 1740894898 | Laura Camafreita | Behavioral Analyst | 1000 Sunnyside Ave, Lawrence, KS 66045-7599 | 2020-09-05 |
| 1891309902 | Madison Hootman | Behavior Technician | 1000 Sunnyside Ave, Lawrence, KS 66045-7599 | 2020-09-04 |
| 1467086207 | Jorey Hart | Behavior Technician | 1000 Sunnyside Ave, Lawrence, KS 66045-7599 | 2020-03-02 |
| 1700410784 | Hannah Coon | Behavior Technician | 1000 Sunnyside Ave, Lawrence, KS 66045-7599 | 2020-02-27 |
| 1871125690 | Carmen Sears | Behavior Technician | 1000 Sunnyside Ave, Lawrence, KS 66045-7599 | 2020-02-10 |
| 1437781259 | Nicholas Nazzoli | Behavior Technician | 1000 Sunnyside Ave, Lawrence, KS 66045-7599 | 2020-02-10 |
| 1356973168 | Morgan List | Behavior Technician | 1000 Sunnyside Ave, Lawrence, KS 66045-7599 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043235484 | Graig L Nickel | Family Medicine | 1200 Schwegler Drive, Ku Shs - Watkins Memorial Health Center, Lindsborg, KS 66045 | 2006-07-13 |
| 1265495261 | Joy R Murphy | Family Medicine | Watkins Health Services, 1200 Schwegler Dr., Lawrence, KS 66045 | 2006-04-10 |
| 1326505389 | Ryan Lee O'neil | Specialist/Technologist | 1615 Naismith Dr Lawrence Ks 66045, Lawrence, KS 66045-0001 | 2019-02-26 |
| 1508956301 | Lawrence M Magee | Family Medicine | Allen Fieldhouse, 1651 Naismith Dr., Lawrence, KS 66045-0001 | 2006-10-13 |
| 1154335586 | Alicia Ann Clair | Music Therapist | Memt448 Murphy Hall, 1530 Naismith Dr. University of Kansas, Lawrence, KS 66045-0001 | 2006-07-29 |
| 1992961932 | Lori A Shiflett | Nurse Practitioner | University of Kansas, 1200 Schwegler Dr, Lawrence, KS 66045-0001 | 2008-07-30 |
| 1609914720 | William Matt Gillispie | Speech-Language Pathologist | 1200 Sunnyside Ave., 2101 Haworth Hall, Lawrence, KS 66045-0667 | 2007-02-01 |
| 1588702682 | Jane R. Wegner | Speech-Language Pathologist | 1200 Sunnyside Ave, 2101 Haworth Hall, Lawrence, KS 66045-0667 | 2007-02-01 |
| 1902917727 | Eric B Atwood | Psychiatry & Neurology | 1200 Schwegler Dr Rm 2100, Lawrence, KS 66045-1963 | 2006-08-31 |
| 1477928174 | Kyle Swendson | Student in an Organized Health Care Education/Training Program | 1301 Sunnyside Ave, Room 104e, Lawrence, KS 66045-2924 | 2015-12-07 |
| Find all providers in zip 66045 | ||||
| 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 |
|---|---|---|---|---|
| 1588263677 | Yamilka Then | Behavior Technician | 529 Lowell St Apt 2, Lawrence, MA 01841-4412 | 2020-10-20 |
| 1104430495 | Janell Gaddis | Behavior Technician | 22 Smith St, Lawrence, MA 01841-4150 | 2020-09-03 |
| 1831735216 | Crissel Pineda | Behavior Technician | 14 Birch St # 1, Lawrence, MA 01841-1104 | 2019-11-21 |
| 1912557570 | Zijie Ma | Behavior Technician | 1823 Kentucky St, Lawrence, KS 66044-4127 | 2019-09-16 |
| 1619523230 | Ellie Maites | Behavior Technician | 1040 Mississippi St Apt 9, Lawrence, KS 66044-2906 | 2019-08-11 |
| 1598318354 | Hayley Mccarthy | Behavior Technician | 212 Olive Ave, Lawrence, MA 01841-4865 | 2019-07-22 |
| 1891355889 | Leslie Shanee Marrero | Behavior Technician | 16 Dracut St, Lawrence, MA 01843-2611 | 2019-06-20 |
| 1619449279 | Kingsley C Nweme | Behavior Technician | 16 Beacon St Apt 22, Lawrence, MA 01843-2041 | 2018-12-20 |
| 1730688565 | Amy Z Perez | Behavior Technician | 1311 Michigan Way Apt A, Lawrence, KS 66044-6525 | 2018-02-07 |
| 1609318823 | Nicole Geckeler | Behavior Technician | 1821 Tennessee St, Apt 2, Lawrence, KS 66044-4179 | 2016-11-07 |
| Find all providers in LAWRENCE | ||||
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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.