SHANNON SMITH (NPI# 1649829383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649829383 |
| Entity Type | Individual |
| Full Name | SHANNON SMITH |
| Practice Address |
6210 75th St W Lakewood WA 98499-8303 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 2533455720 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1821603267 | Shannon Alexandria Smith | Dietitian, Registered | 20621 Ne 1st Ct, Miami, FL 33179-1702 | 2020-09-12 |
| 1790316040 | Shannon Machelle Smith | Nurse Practitioner | 7705 Happy Hollow Dr, Mint Hill, NC 28227-8518 | 2020-01-27 |
| 1750925392 | Shannon Joy Smith | Nurse Practitioner | 152 Pearson Rd, Greer, SC 29651-7146 | 2019-11-06 |
| 1104308014 | Shannon Lynn Smith | Massage Therapist | 15131 Northville Rd, Plymouth, MI 48170-2548 | 2018-09-06 |
| 1548747181 | Shannon Marie Smith | Psychologist | 146 2nd St N Ste 305, Saint Petersburg, FL 33701-3361 | 2018-07-26 |
| 1942726393 | Shannon Elizabeth Smith | Counselor | 3535 S Sherwood Forest Blvd Ste 227, Baton Rouge, LA 70816-2255 | 2017-08-17 |
| 1043749450 | Shannon Michelle Smith | Marriage & Family Therapist | 707 W 5th Ave Apt 1116, Spokane, WA 99204-2780 | 2017-06-08 |
| 1033640644 | Shannon Elizabeth Smith | Social Worker | 212 W Red Bridge Rd, Kansas City, MO 64114-5136 | 2017-03-24 |
| 1518311240 | Shannon Kathleen Smith | Licensed Practical Nurse | 9040 Jackson Avenue, Attn Mchk-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-04-19 |
| Street Address |
6210 75TH ST W |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336211622 | Jolene O'connell | Massage Therapist | 6210 75th St W, Suite A100, Lakewood, WA 98499-8303 | 2006-11-14 |
| 1598308629 | Lauren Elizabeth Goncharoff-nickle | Behavioral Analyst | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-10-22 |
| 1225686389 | Renee Nicole Becton | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-08-30 |
| 1306306345 | Angela M Roth | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-03-25 |
| 1053885236 | Ojas Abhijit Deshpande | Behavioral Analyst | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-01-21 |
| 1245704154 | Brittany Lauren Ward | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-01-14 |
| 1518459213 | Alexandra Jordan Farren | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2018-05-30 |
| 1487155016 | Sherrie Lynn Smith | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2018-02-28 |
| 1194233734 | Sarah Elizabeth Hill | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2018-01-17 |
| 1427362284 | Sarah R Larson | Specialist | 6210 75th St W, Lakewood, WA 98499-8303 | 2010-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| 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 |
|---|---|---|---|---|
| 1710502489 | Emily Russell | Behavior Technician | 265 S Harlan St # 80226, Lakewood, CO 80226-2261 | 2020-06-09 |
| 1194359943 | Carlee Lacer | Behavior Technician | 573 Van Gordon St Apt 3-320, Lakewood, CO 80228-1226 | 2020-03-01 |
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1992352926 | Madison Comstock | Behavior Technician | 14237 W Iliff Ave, Lakewood, CO 80228-5421 | 2019-08-23 |
| 1598311474 | Amber Jasmine Mcwha | Behavior Technician | Trumpet Behaviroal Health, 390 Union Blvd Ste 300, Lakewood, CA 80228-6514 | 2019-08-15 |
| 1194385708 | Edward Robert Johnson | Behavior Technician | West 6th Avenue Suite 1000, Lakewood, CO 80215-8021 | 2019-06-17 |
| 1548829575 | Taryn Noelle Syler | Behavior Technician | 7220 W Jefferson Ave Ste 220, Lakewood, CO 80235-2031 | 2019-06-12 |
| 1477111227 | Prana Briggs | Behavior Technician | 7902 Jade Drive Sw, Lakewood, WA 98498 | 2019-06-05 |
| 1689135246 | Paige Poudrier | Behavior Technician | 6446 Eberle St, Lakewood, CA 90713-2208 | 2019-03-27 |
| Find all providers in LAKEWOOD | ||||
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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.