WENDI Y MINUTOLO (NPI# 1003365503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003365503 |
| Entity Type | Individual |
| Full Name | WENDI Y MINUTOLO |
| Practice Address |
403 Princeton Rd Ste 3 Johnson City TN 37601 |
| Mailing Address |
403 Princeton Rd Ste 3 Johnson City TN 37601-2040 |
| Practice Telephone | 4232023622 |
| Practice Fax Number | 4236310019 |
| Mailing Telephone | 4232023622 |
| Mailing Fax Number | 4236310019 |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | TN | Behavioral Health & Social Service Providers |
| Street Address |
403 PRINCETON RD STE 3 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215428321 | Kayli Cowan | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601-2040 | 2018-05-24 |
| 1386164788 | Sarah N Birdwell | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601-2040 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| 1154792422 | Jeffrey Scott Jackson | Occupational Therapy Assistant | 3209 Bristol Hwy., Nhc Healthcare, Johnson City, TN 37601 | 2015-10-13 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144857764 | Common Thread Aba LLC | Behavioral Analyst | 1709 Colonial Ridge Rd, Johnson City, TN 37604-7624 | 2020-03-24 |
| 1306406418 | Sichel Spiess | Behavioral Analyst | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2019-06-20 |
| 1487955969 | Tri-cities Behavioral Therapy, LLC | Behavioral Analyst | 290 Boring Chapel Rd, Johnson City, TN 37615-2941 | 2010-11-15 |
| 1881920122 | Mary A Smith | Behavioral Analyst | 302 Wesley St Ste 1, Johnson City, TN 37601-1741 | 2009-10-21 |
| 1306077110 | Douglas Vaughn Washburn | Behavioral Analyst | 701 Azon Rd Fl 2, Johnson City, NY 13790-1724 | 2009-07-29 |
| 1053546994 | Missy Ann Baker | Behavioral Analyst | 1113 E Main St, Johnson City, TN 37601-4823 | 2009-05-21 |
| 1760657100 | Robert Vardaman Peets | Behavioral Analyst | 2 Leanne Cir, Johnson City, TN 37604-7671 | 2008-04-28 |
| 1083226674 | Tracy E Olevano | Behavioral Analyst | 18 Broad St, Johnson City, NY 13790-2198 | 2020-08-17 |
| 1790324465 | Tabitha Ebbert | Behavioral Analyst | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2019-12-30 |
| 1215428321 | Kayli Cowan | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601-2040 | 2018-05-24 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.