SELENA CANNON (NPI# 1609496892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609496892 |
| Entity Type | Individual |
| Full Name | SELENA CANNON |
| Credential | RBT |
| Practice Address |
632 Eastern Blvd Clarksville IN 47129-2463 |
| Mailing Address |
550 Congressional Blvd Carmel IN 46032-5609 |
| Practice Telephone | 3172492242 |
| Practice Fax Number | 3176631175 |
| Mailing Telephone | 3172492242 |
| Mailing Fax Number | 3176631175 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 19102501 | IN | Behavioral Health & Social Service Providers |
| Street Address |
632 EASTERN BLVD |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255486973 | Jessica Stephanie Bunch | Chiropractor | 632 Eastern Blvd, Clarksville, IN 47129 | 2007-01-24 |
| 1689288185 | Elizabeth Miller | Behavioral Analyst | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-09-02 |
| 1487263265 | Dawn Lynch | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-07-28 |
| 1336760008 | Madelyn Edens | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-05-04 |
| 1609497361 | Madison Dibble | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-05-04 |
| 1497375398 | Kristina Traughber | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-04-21 |
| 1013549518 | Michael Murphy | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1588296081 | Kelsey Smith | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1023640521 | Tylar Mitchell | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1669004164 | Megan Bratcher | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| Find all providers in zip 47129 | ||||
| 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 |
|---|---|---|---|---|
| 1770100018 | Brittany Brianna Forbus | Behavior Technician | 1047 E Monica Dr, Clarksville, TN 37042-6710 | 2020-07-02 |
| 1508491424 | Kathrine Jackson | Behavior Technician | 139 E Old Trenton Rd Unit B, Clarksville, TN 37043-5845 | 2020-03-11 |
| 1821620329 | Chelsea Toler | Behavior Technician | 632 Eastern Blvd Ste 220, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1932746922 | Brittany Khanna | Behavior Technician | 2250 Wilma Rudolph Blvd # F259, Clarksville, TN 37040-8452 | 2019-12-09 |
| 1124688965 | Hannah Cromer | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-3704 | 2019-06-14 |
| 1235692005 | Bethany Pinkston | Behavior Technician | 2250 Wilma Rudolph Blvd Ste F259, Clarksville, TN 37040-8452 | 2019-04-09 |
| 1861957953 | Bailey Nicole Sternberg | Behavior Technician | 2250 Wilma Rudolph Blvd Ste F-259, Clarksville, TN 37040-8452 | 2019-02-04 |
| 1811468291 | Ashley Lynn Waterbury | Behavior Technician | 1584 Elberta Dr, Clarksville, TN 37042-5319 | 2018-12-11 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1336625714 | Jennifer Joan Lewis | Behavior Technician | 1117 Thornberry Dr, Clarksville, TN 37043-5631 | 2018-07-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
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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.