SHANNON MARIE KELLEY


Address: 10530 Warwick Ave, Suite C5, Fairfax, VA 22030-3132
Phone: 7032169230

SHANNON MARIE KELLEY (NPI# 1700153327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700153327
Entity Type Individual
Full Name SHANNON MARIE KELLEY
Credential M.ED, BCBA
Practice Address 10530 Warwick Ave
Suite C5
Fairfax
VA 22030-3132
Practice Telephone 7032169230
Practice Fax Number 5713845815
Mailing Telephone 7032169230
Mailing Fax Number 5713845815
Enumeration Date 2011-11-28
Last Update Date 2012-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-11-9387 VA Behavioral Health & Social Service Providers

Other Providers SHANNON KELLEY

NPI Name Taxonomy Address Enumeration
1598284275 Shannon Kelley Occupational Therapist 3800 Nicholasville Rd Apt 11430, Lexington, KY 40503-6351 2017-09-14
1902089238 Shannon Kathleen Kelley Social Worker 650 Madison St, Syracuse, NY 13210-2319 2007-12-10
1730701871 Shannon M Kelley Advanced Practice Midwife 55 Fruit St, Boston, MA 02114-2696 2020-05-12
1932637717 Shannon E Kelley Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 2017-05-24
1619339132 Shannon Kelley Pharmacist 323 Cromwell Ave, Rocky Hill, CT 06067-1801 2016-03-23
1639537913 Shannon Kelley Case Management 4250 Woodward Ave, Detroit, MI 48201-1818 2016-02-02
1700267705 Shannon Kelley Student in an Organized Health Care Education/Training Program 3500 Gaston Ave, Dallas, TX 75246-2017 2015-06-15
1467897165 Shannon Kelley Counselor 1020 Riverwood Ct, Bldg 1, Conroe, TX 77304-2811 2013-05-08
1992056063 Shannon Dunn Kelley Physical Therapist 1012 S Crowley Rd, # C, Crowley, TX 76036-3664 2012-09-28
1740500412 Shannon Kelley Psychologist 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103-6224 2010-06-04

Office Location

Street Address 10530 WARWICK AVE
SUITE C5
City FAIRFAX
State VA
Zip Code 22030-3132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700243029 Selamawit Hagos Behavioral Analyst 10530 Warwick Ave, Suite C2, Fairfax, VA 22030-3132 2016-01-16
1992107668 Mary Buchanan Behavioral Analyst 10530 Warwick Ave, Suite C2, Fairfax, VA 22030-3132 2014-09-24
1194078279 Farr Beyond, LLC Behavioral Analyst 10530 Warwick Ave, Suite C2, Fairfax, VA 22030-3132 2012-10-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1952940322 Brightview Fair Oaks, LLC Alzheimer Center (Dementia Center) 12725 Lee Highway, Fairfax, VA 22030 2020-01-02
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1528612124 Paul Sarigianis Student in an Organized Health Care Education/Training Program 10379b Democracy Lane, Fairfax, VA 22030 2019-07-31
1497221303 Kahak, Inc. Day Training, Developmentally Disabled Services 10560 Main Street Suite Ps100, Fairfax, VA 22030 2018-10-17
1689177073 Shamoona Sharif Dentist 11050 Lee Hwy, Fairfax, VA 22030 2018-03-13
1205339538 Rachael Lee Greene Social Worker 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 2018-03-13
1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
1275033607 Philajo Global LLC Non-emergency Medical Transport (VAN) 4521 Billingham Street, Fairfax, VA 22030 2018-02-12
1376050401 Alexander Harrison Counselor 4400 University Drive, Ms 2a2, Fairfax, VA 22030 2018-01-10
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003426966 Nitika Rikhi Behavioral Analyst 12972 Highland Oaks Ct, Fairfax, VA 22033-2030 2020-08-05
1710512405 Rachel Danya Robinson Behavioral Analyst 4202 Lamarre Dr, Fairfax, VA 22030-5134 2020-03-03
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1578129417 Natasha Marie Metzner Behavioral Analyst 10340 Democracy Ln Ste Band102, Fairfax, VA 22030-2518 2019-05-16
1023583069 S.h.a.p.e Solutions LLC Behavioral Analyst 12237 Fairfield House Dr Apt 311, Fairfax, VA 22033-3953 2018-10-05
1013492131 Audrey Page Behavioral Analyst 10340 Democracy Ln Ste 102b&3, Fairfax, VA 22030-2518 2018-09-25
1831677913 Francisca D Colindres Reyes Behavioral Analyst 10340 Democracy Ln Ste Band103, Fairfax, VA 22030-2518 2018-08-01
1477043925 Alleah Basic Behavioral Analyst 10340 Democracy Ln Ste 102b103, Fairfax, VA 22030-2518 2018-05-10
1194234625 Aba Center of Virginia Behavioral Analyst 4969 Vail Ridge Ln, Fairfax, VA 22030-6646 2017-09-27
1922540780 Tammy Ko Behavioral Analyst 10340 Democracy Ln Ste 102b, Fairfax, VA 22030-2518 2016-11-10
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Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

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.

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