SHENEICE WILLIS (NPI# 1720629082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720629082 |
| Entity Type | Individual |
| Full Name | SHENEICE WILLIS |
| Credential | BCBA |
| Practice Address |
1125 Hammond Dr Unit 402 Sandy Springs GA 30328-6837 |
| Mailing Address |
5877 Livernois Rd Troy MI 48098-3100 |
| Practice Telephone | 4042957941 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 11937222 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5877 Livernois Rd, Troy, MI 480983100 | 7732414009 |
| Street Address |
1125 HAMMOND DR UNIT 402 |
| City | SANDY SPRINGS |
| State | GA |
| Zip Code | 30328-6837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485069 | Jake Freishtat | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-07-30 |
| 1154939353 | Chesley Herring | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-07-14 |
| 1508474701 | Shawndya Clark | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-07-14 |
| 1679181879 | Tyleeshia Smith | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-07-14 |
| 1366069346 | Tahlea Telford | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-06-25 |
| 1255952776 | Chardonnay Toote | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-05-06 |
| 1689295107 | Janae Byrd | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-05-06 |
| 1700407483 | Paula Bragg | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-05-04 |
| 1740801661 | Tiffany Pams | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-05-01 |
| 1659992576 | Latifah King | Behavior Technician | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| 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 |
|---|---|---|---|---|
| 1881157451 | Lauren Thomas | Behavioral Analyst | 750 Hammond Dr Bldg 7, Sandy Springs, GA 30328-5532 | 2019-04-10 |
| 1043793573 | Kayli Elyse Pledger | Behavioral Analyst | 8601 Dunwoody Pl Ste 126, Sandy Springs, GA 30350-2509 | 2018-09-11 |
| 1144567512 | Becky Ginsberg Borak | Behavioral Analyst | 25 Pointe Ridge Dr, Sandy Springs, GA 30328-2755 | 2013-01-05 |
| 1508485236 | Kristen Oddi | Behavioral Analyst | 1215 Hightower Trl Ste B120, Sandy Springs, GA 30350-6205 | 2020-04-13 |
| 1710513304 | Mackenzie C. Pass | Behavioral Analyst | 25 Pointe Ridge Dr, Sandy Springs, GA 30328-2755 | 2020-03-16 |
| 1942832530 | Hannah Dollinger | Behavioral Analyst | 1125 Hammond Dr Unit 402, Sandy Springs, GA 30328-6837 | 2020-02-11 |
| 1356907091 | Cassie M Kolbenschlag | Behavioral Analyst | 750 Hammond Dr, Sandy Springs, GA 30328-5532 | 2019-05-17 |
| 1699245803 | Natalia Hernandez | Behavioral Analyst | 270 Carpenter Dr, Sandy Springs, GA 30328-4931 | 2018-11-29 |
| 1003222696 | Carline Die | Behavioral Analyst | 1160 Hammond Dr, Sandy Springs, GA 30328-5473 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346664 | Dominique Infiniti Jones | Behavioral Analyst | 512 Windmont Dr Ne, Brookhaven, GA 30329-1041 | 2020-11-04 |
| 1720689318 | Javaris Paggett | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-02 |
| 1497355812 | Unique Solutions Behavior Services | Behavioral Analyst | 4258 Holliday Rd, Atlanta, GA 30349-8849 | 2020-10-26 |
| 1922607985 | Steps, LLC | Behavioral Analyst | 1321 Bramble Rd Ne, Atlanta, GA 30329-3503 | 2020-10-21 |
| 1699381475 | James E Faison | Behavioral Analyst | 2270 Dunwoody Xing, Apt B, Atlanta, GA 30338-7319 | 2020-09-17 |
| 1679188015 | Soracha Orourke | Behavioral Analyst | 880 Glenwood Ave Se, Atlanta, GA 30316-1825 | 2020-09-12 |
| 1336753862 | Megan Boucher | Behavioral Analyst | 5825 Glenridge Dr Ste 208, Atlanta, GA 30328-5387 | 2020-09-02 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1669084398 | Mallory Moore | Behavioral Analyst | 102 Mary Alice Park Rd Ste 304, Cumming, GA 30040-2683 | 2020-08-24 |
| 1619587631 | Ashaki Felix | Behavioral Analyst | 120 Millbrook Village Dr, Tyrone, GA 30290-3605 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SANDY SPRINGS |
| Zip Code | 30328 |
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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.