Shyanne Kelly · 200 Valencia Dr, Jacksonville, NC 28546-6311 · Behavior Technician (2024)

Overview

Shyanne Kelly is a Behavior Technician practicing in Jacksonville, North Carolina. The National Provider Identifier (NPI) is #1548034077, which was assigned on November 15, 2023, and the registration record was last updated on November 15, 2023. The practitioner's main practice location is at 200 Valencia Dr, Jacksonville, NC 28546-6311; the contact telephone number is 2523414192. The primary taxonomy of Shyanne Kelly is Behavior Technician (106S00000X).

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.

Provider Information

NPI 1548034077
Entity Type Individual
Provider Name SHYANNE KELLY
Gender Female
Practice Address 200 Valencia Dr
Jacksonville
NC 28546-6311
Practice Telephone 2523414192
Mailing Address 200 Valencia Dr
Jacksonville
NC 28546-6311
Mailing Telephone 2523414192
Certification Date 2023-11-15
Enumeration Date 2023-11-15
Last Update Date 2023-11-15
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y106S00000XBehavior Technician

Taxonomy Information

Primary Taxonomy

Code 106S00000X
Taxonomy Behavior Technician
Classification Behavior Technician
Grouping Behavioral Health & Social Service Providers
Definition: 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]

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Nicholas Merryman 19550 International Blvd, Seatac, WA 98188-5426Behavior Technician2024-06-08
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Deborah Holan 216 W Boylston St Ste 200, West Boylston, MA 01583-1788Behavior Technician2024-06-08
Ana Harleene Radetich 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107Behavior Technician2024-06-08
Albaraa Mohamed Gebril 135 Willet St, Passaic, NJ 07055-1927Behavior Technician2024-06-08
Perri Greenwald 31 Walker Ave, Baltimore, MD 21208-4022Behavior Technician2024-06-08
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Location Information

Street Address 200 VALENCIA DR
City JACKSONVILLE
State NC
Zip Code 28546-6311
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Tayah Bertolotto 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2024-01-26
Rene Whitaker 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2024-01-17
Hannah Blankenship 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2023-12-12
Lucia Philipp 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2023-11-21
Jaisha Eldridge 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2023-11-27
Valery Ortiz 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2023-10-24
Samantha Waltermire 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2023-09-14
Morgan Fuller 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2024-02-27
Abigail Antonette 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2023-07-31
Kaitlynn Brumfield 200 Valencia Dr, Jacksonville, NC 28546-6311Behavior Technician2024-01-17
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lauren Pierce · Lauren Delossantoscoy 165 C Street, Camp Lejeune, NC 28546Clinical Social Worker2024-04-30
Publix North Carolina, Lp · Publix Pharmacy #1660 2001 Marlin Drive Unit 100, Jacksonville, NC 28546Durable Medical Equipment & Medical Supplies2019-06-28
Levi Scott Marshall Everett Creek Road, Building 612, Camp Lejeune, NC 28546Independent Duty Corpsman2019-10-09
Shieka Dixon 1250 Wester Blvd Ste L2 #431, Jacksonville, NC 28546Vehicle Modifications Contractor2024-03-26
Reviving Wellness and Mental Health, PLLC 418 Cyrus Thompson Drive, Jacksonville, NC 28546Clinical Social Worker2024-05-01
321/323 Western Blvd, Jacksonville, NC 28546Eyewear Supplier2024-05-20
Jennifer Ficca Flinchum 260 Memorial Dr Ste A, Jacksonville, NC 28546Adult Health Nurse Practitioner2018-08-03
Bradley Arthur Gannon 2d Recon Bn 2d Marine Division, Camp Lejeune, NC 28546Independent Duty Corpsman2024-01-08
Lauren Mickayla Bonneville 217 Station St., Jacksonville, NC 28546Behavior Technician2023-05-08
Brandi Moore 237 Old White Street, Ste 2, Jacksonville, NC 28546Family Nurse Practitioner2022-03-23
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.

Shyanne Kelly · 200 Valencia Dr, Jacksonville, NC 28546-6311 · Behavior Technician (2024)
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