Shawntay Dorae Crawford

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

215 E 4TH St
Hoisington, KS 67544-2317

Phone

(620) 292-7168

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shawntay Dorae Broadnax Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavior Solutions, LLC

  dba Heartland ABA

  • Behavior Analyst
  • Russell, KS
  • NPI 1336785922
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1003654195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 E WICHITA AVE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652444",
            "telephone_number": "785-377-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 4TH ST",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675442317",
            "telephone_number": "620-292-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "SHAWNTAY",
        "middle_name": "DORAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNTAY",
            "last_name": "BROADNAX",
            "middle_name": "DORAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheyenne Drug Inc
• Victoria Childs
• Chiropractic Arts Chartered
• City of Hoisington (City of Hoisington Ambulance Service)
• Cornerstone Anesthesia LLC
• Morgan Feldkamp
• Julia A Flagor, D.C.
• Clifford Frink, ARNP
• Angela Sue Gonzalez
• Olinda A Harbaugh, DIETICIAN

• Behavior Analyst in Hoisington, KS
• Providers in Hoisington, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.