SHANNON MCMILLAN (NPI# 1942815766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942815766 |
| Entity Type | Individual |
| Full Name | SHANNON MCMILLAN |
| Practice Address |
193 Oak St Ste 1 Newton MA 02464-1453 |
| Mailing Address |
145 Milton Ave North Smithfield RI 02896-7133 |
| Practice Telephone | 6176585611 |
| Mailing Telephone | 4013688110 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| 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 |
|---|---|---|---|---|
| 1073093118 | Shannon Mcmillan | Occupational Therapy Assistant | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2018-08-17 |
| Street Address |
193 OAK ST STE 1 |
| City | NEWTON |
| State | MA |
| Zip Code | 02464-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184907008 | Laura Francis | Music Therapist | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2011-09-27 |
| 1942800693 | James Balousek Richardson | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-10-30 |
| 1679173082 | Zachary Robinson | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-10-27 |
| 1306446679 | Nicola Fernanda Paredes-rupp | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-10-27 |
| 1770182941 | Richelli Grullon | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-10-20 |
| 1225636004 | Karly F Covall | Behavioral Analyst | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-10-13 |
| 1528666815 | Nicole Angeleri | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-10-09 |
| 1215544812 | Madison Rose Kenny | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-09-28 |
| 1891301081 | Lelle F Toth | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-09-22 |
| 1760098958 | Joanne Laurore | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235799016 | Vi Dang | Pharmacist | 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 | 2019-06-14 |
| 1861056657 | Freiberg- Dale Associates | In Home Supportive Care | 1254 Chestnut Street, 2nd Floor, Newton, MA 02464 | 2019-04-26 |
| 1770065633 | Eriny Agban | Counselor | 223 Needham St, Newton, MA 02464 | 2018-09-06 |
| 1629507025 | Marilyn Gamber | Nurse Practitioner | 141 Needham St Ste N205, Newton, MA 02464 | 2017-06-08 |
| 1275089880 | Carole Calderon | Social Worker | 28 Richardson Road, Newton Upper Falls, MA 02464 | 2016-09-01 |
| 1952797011 | Christine Maley | Occupational Therapist | 377 Elliot St Ste 110j, Newton Upper Falls, MA 02464 | 2015-04-15 |
| 1851780936 | Katrina Maclean X | Behavioral Analyst | 109 Oak Street Suite G10, Newton, MA 02464 | 2015-01-13 |
| 1447555909 | Sarah Russell | Speech-Language Pathologist | 43 River Ave, Newton Upper Falls, MA 02464 | 2011-01-14 |
| 1639328164 | Sanita D'souza | Audiologist | 23 Mechanic Street, S R Associates, Newton, MA 02464 | 2008-09-09 |
| 1366581845 | Julia Elizabeth French | Chiropractor | 383 Elliot St # F, Newton Upper Falls, MA 02464 | 2007-02-05 |
| Find all providers in zip 02464 | ||||
| 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 |
|---|---|---|---|---|
| 1578176582 | Uyen Tran Tan Nguyen | Behavior Technician | 61 Chapel St, Newton, MA 02458-1010 | 2020-08-28 |
| 1619534732 | Kameron L Thomas | Behavior Technician | 26 Kensington St, Newton, MA 02460-1312 | 2019-05-23 |
| 1881106441 | Tayyaba Nizam | Behavior Technician | 256 Elliot St Unit 2, Newton, MA 02464-1203 | 2017-11-03 |
| 1881128841 | Michelle Smith | Behavior Technician | 6 Nonantum St, Newton, MA 02458-2432 | 2017-04-17 |
| 1881138782 | Laurent Plaisimond | Behavior Technician | 109 Oak St Ste G1, Newton, MA 02464-1486 | 2016-12-12 |
| 1750982278 | Gracendy Mesamours | Behavior Technician | 193 Oak St, Newton, MA 02464-1457 | 2020-11-02 |
| 1942800693 | James Balousek Richardson | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-10-30 |
| 1679173082 | Zachary Robinson | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-10-27 |
| 1306446679 | Nicola Fernanda Paredes-rupp | Behavior Technician | 193 Oak St Ste 1, Newton, MA 02464-1453 | 2020-10-27 |
| 1619576733 | Sirine Bellou | Behavior Technician | 85 Chapel St, Newton, MA 02458-1065 | 2020-10-20 |
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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.