Shuntell Simone Dance

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-380475 Issued in IN

Practice address

201 N Illinois St FL 16
Indianapolis, IN 46204-1904

Phone

(317) 732-8380

Fax

(855) 915-1521

NPI assigned

Dec 30, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Step Ahead ABA Oh LLC

  • Behavior Analyst
  • Akron, OH
  • NPI 1033927793

  Behavior Technician

  NPD
• Partners in Autism

  • Behavior Analyst
  • Fort Wayne, IN
  • NPI 1104236272
  NPD (past)

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1821806381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 WEDGEWOOD DR UNIT 6250",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122479",
            "telephone_number": "888-238-1818",
            "fax_number": "855-915-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N ILLINOIS ST FL 16",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041904",
            "telephone_number": "317-732-8380",
            "fax_number": "855-915-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCE",
        "first_name": "SHUNTELL",
        "middle_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-24-380475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon Dialysis LLC
• Felicia D Damon, CST, CSFA
• Gloria Damptey, NP
• Dan Wendorff OD PC
• Dana L. Donaldson, OD
• Durell Dancy, DDS
• Shira Esther Ruggs Dancy, D.D.S.
• Bengina Danda
• Vidya Dandu, MD
• Jeffrey Michael Danes, LPC

• Behavior Technician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.