SHERYL E HARVIN (NPI# 1750911418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750911418 |
| Entity Type | Individual |
| Full Name | SHERYL E HARVIN |
| Other Name | SHERELLE E HARVIN |
| Practice Address |
42-77 65th Place Woodside NY 11377 |
| Mailing Address |
4277 65th Pl Woodside NY 11377-5054 |
| Practice Telephone | 5167557878 |
| Mailing Telephone | 5167557878 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
42-77 65TH PLACE |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831516343 | Catherine Ponzi | Case Manager/Care Coordinator | 42-77 65th Place, Woodside, NY 11377 | 2014-03-21 |
| 1336770064 | Melissa Shelton | Behavior Technician | 42-77 65th Place, Woodside, NY 11377-5054 | 2020-01-31 |
| 1104466465 | Amanda Alfonso | Physical Therapist | 42-77 65th Place, Woodside, NY 11377 | 2020-01-14 |
| 1417508219 | Felicity Nduku | Social Worker | 42-77 65th Place, Woodside, NY 11377 | 2019-09-23 |
| 1720637838 | Samuel Newman | Social Worker | 42-77 65th Place, Woodside, NY 11377 | 2019-09-11 |
| 1265085005 | Venecia Alicia Golding | Registered Nurse | 42-77 65th Place, Woodside, NY 11377 | 2019-07-21 |
| 1689239360 | Kate Henry | Social Worker | 42-77 65th Place, Woodside, NY 11377 | 2019-05-07 |
| 1427611151 | Brandon Clark Jackson | Social Worker | 42-77 65th Place, Woodside, NY 11377-5054 | 2019-04-18 |
| 1902365679 | Natasha Harris | Social Worker | 42-77 65th Place, Woodside, NY 11377 | 2019-03-13 |
| 1962979161 | Elizabeth Hodgens | Registered Nurse | 42-77 65th Place, Woodside, NY 11377 | 2018-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
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| 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 |
|---|---|---|---|---|
| 1497352330 | Derya Nur Sari | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-10-05 |
| 1962024471 | Iyanla Fredericksen Rasberry | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-05-07 |
| 1376164871 | Kaela Stephen | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-05-06 |
| 1710508387 | Jeffrey Lopez | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-05-05 |
| 1326669912 | Marielle Nelson | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-05-05 |
| 1225666274 | Christina Marie Stasio | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-03-27 |
| 1467089144 | Jade Vadnos | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-03-24 |
| 1568097467 | Joanna Joshine Stinson | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-03-11 |
| 1568097616 | Gabriela Caceres | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-03-10 |
| 1609401876 | Namita Chaturvedi | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-03-09 |
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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.