BRANDI JO GRIMES (NPI# 1023632213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023632213 |
| Entity Type | Individual |
| Full Name | BRANDI JO GRIMES |
| Practice Address |
69 Lindsey Ln Ste B Saint Marys GA 31558-1702 |
| Mailing Address |
103 Johansen Way Kingsland GA 31548-6857 |
| Practice Telephone | 9122668686 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-110101 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609355841 | Brandi N Grimes | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-08-08 |
| Street Address |
69 LINDSEY LN STE B |
| City | SAINT MARYS |
| State | GA |
| Zip Code | 31558-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064618 | Shyana Dale | Behavior Technician | 69 Lindsey Ln Ste B, Saint Marys, GA 31558-1702 | 2020-08-19 |
| 1982215034 | Megan Marie Rowland | Behavior Technician | 69 Lindsey Ln Ste B, Saint Marys, GA 31558-1702 | 2020-08-12 |
| 1225652464 | Elizabeth Raber | Behavior Technician | 69 Lindsey Ln Ste B, Saint Marys, GA 31558-1702 | 2020-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
| 1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
| 1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
| 1285149427 | Urgent Care of Coastal Georgia | General Practice | 214 A Professional Circle, St. Marys, GA 31558 | 2017-12-11 |
| 1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
| 1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
| 1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
| 1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
| 1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
| Find all providers in zip 31558 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016216 | Alicia Peterman | Behavior Technician | 107 Industrial Dr Bldg E, Saint Marys, GA 31558-4435 | 2018-06-13 |
| 1467064618 | Shyana Dale | Behavior Technician | 69 Lindsey Ln Ste B, Saint Marys, GA 31558-1702 | 2020-08-19 |
| 1982215034 | Megan Marie Rowland | Behavior Technician | 69 Lindsey Ln Ste B, Saint Marys, GA 31558-1702 | 2020-08-12 |
| 1225652464 | Elizabeth Raber | Behavior Technician | 69 Lindsey Ln Ste B, Saint Marys, GA 31558-1702 | 2020-06-03 |
| 1023653631 | Tyler Bunkley | Behavior Technician | 107 Industrial Dr Ste E, Saint Marys, GA 31558-4436 | 2019-11-07 |
| 1518508225 | Kaley Weldon | Behavior Technician | 107 Industrial Dr Ste E, Saint Marys, GA 31558-4436 | 2019-10-03 |
| 1205486024 | Michelle Zapf | Behavior Technician | 107 Industrial Dr Ste E, Saint Marys, GA 31558-4436 | 2019-09-13 |
| 1659845741 | Robinglen Gabor | Behavior Technician | 107 Industrial Dr Ste E, Saint Marys, GA 31558-4436 | 2019-01-11 |
| 1104301498 | Kendall Meek | Behavior Technician | 107 Industrial Dr Ste E, Saint Marys, GA 31558-4436 | 2018-10-02 |
| 1982190989 | Kayla Simmons | Behavior Technician | 107 Industrial Dr Ste E, Saint Marys, GA 31558-4436 | 2018-07-03 |
| Find all providers in SAINT MARYS | ||||
| City | SAINT MARYS |
| Zip Code | 31558 |
Please comment or provide details below to improve the information on BRANDI JO GRIMES.
| 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.