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Dr. Shayne Sumida, MD
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1881257376

Shayne Sumida is a Student in an Organized Health Care Education/Training Program based in Scottsdale, AZ. Shayne Sumida practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Shayne Sumida is 1881257376 and holds a License No. IN-10198928 (Arizona).

The current practice location address for Shayne Sumida is 26224 N Tatum Blvd Ste 5, Phoenix, AZ and can be reached out via phone at 480-882-7580 and via fax at 480-563-7442.

Location: 26224 N Tatum Blvd Ste 5, Phoenix, AZ, 85255-4109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881257376
Provider Name
Shayne Sumida
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
26224 N Tatum Blvd Ste 5, Phoenix, AZ, 85255-4109
Phone Number
480-882-7580
Fax Number
480-563-7442
Provider Enumeration Date
04/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26224 N Tatum Blvd Ste 5
City
Phoenix
State
Arizona
Zip
85050-7500
Phone Number
480-882-7580
Fax Number
480-563-7442
person
Provider Business Mailing Address Details
Address
26224 N Tatum Blvd Ste 5
City
Phoenix
State
Arizona
Zip
85050-7500
Phone Number
480-882-7580
Fax Number
480-563-7442
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
(Arizona)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
IN-10198928 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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