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Deactivated NPI 1124526595 Deactivated / Inactive NPI Female Practitioner

Shonique Patrice Edwards

Behavior Technician • Trinity, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shonique Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2018
NPI Deactivation Date September 13, 2022
Total Practice Duration ~4 Years of Practice (2018 – 2022)

Professional Overview & Biography Verified Profile Summary

Shonique Edwards was a registered Behavior Technician practicing in Trinity, FL. Throughout an active medical career spanning 4 years, Shonique Edwards provided care at the practice location at 12356 MOSS LAKE LOOP until profile deactivation on 2022-09-13.

Practice Location & Contact Primary Location

Practice Address

12356 Moss Lake Loop

Trinity, FL 346552328

Telephone 7275972280
Associated Practice Facility / Clinic
🏢 Autism Interacts Aba, Llc Facility NPI 1528501640

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Trinity, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Trinity, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Ofelia Gavino , RBT

Behavior Technician

NPI 1821559493

Registered Behavior Technician

NPI 1922361682

Master of Science in Education, Board Certified Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated September 13, 2022

Record deactivated on September 13, 2022

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NPI Profile Deactivated September 12, 2022

Record deactivated on September 12, 2022

NPI Profile Active January 31, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 31, 2018

Registered at 12356 MOSS LAKE LOOP, TRINITY, FL 346552328 (Tel: 7275972280)

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Updated Business Mailing Address January 31, 2018

Registered at 10811 MCKINLEY DR APT 13105, TAMPA, FL 336126524 (Tel: 3524549434)

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Provider Name / Credentials Updated January 31, 2018

Recorded as SHONIQUE EDWARDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2018

Behavior Technician

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Initial NPI Registration & Enumeration January 31, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124526595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2018
Last Update: January 31, 2018
Deactivation Date: September 13, 2022

Mailing Address

10811 Mckinley Dr Apt 13105

Tampa, FL 336126524

Phone: 3524549434

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.