MCKENZIE BRYANT (NPI# 1023650462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023650462 |
| Entity Type | Individual |
| Full Name | MCKENZIE BRYANT |
| Practice Address |
3019 Saint Mihiel Ave Norfolk VA 23509-1839 |
| Practice Telephone | 7572854247 |
| Mailing Telephone | 7572854247 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3019 SAINT MIHIEL AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23509-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548618820 | Burleigh Clarke | Physical Therapist | 1806 Lasalle Ave., Norfolk, VA 23509 | 2016-05-27 |
| 1770527400 | Gynecology Associates Ltd Pllc | Obstetrics & Gynecology | 2810 Tidewater Dr., Norfolk, VI 23509 | 2006-06-15 |
| 1285126110 | Tina Armstrong | Private Vehicle | 1730 Gowrie Ave, Norfolk, VA 23509-1024 | 2018-06-06 |
| 1992922603 | Peggy Lynn Pickford | Speech-Language Pathologist | 1779 Tait Ter, Norfolk, VA 23509-1043 | 2007-04-20 |
| 1235477761 | Senseabilities Pediatric Therapy, LLC | Speech-Language Pathologist | 1779 Tait Ter, Norfolk, VA 23509-1043 | 2013-01-17 |
| 1528391307 | Cimone S John | Nurse Practitioner | 2810 Tidewater Dr, Norfolk, VA 23509-1050 | 2009-09-11 |
| 1295760403 | Abraham S Anderson | Obstetrics & Gynecology | 2810 Tidewater Dr, Norfolk, VA 23509-1050 | 2006-07-12 |
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1285838797 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 3115 Lorraine Ave, Norfolk, VA 23509-1127 | 2007-06-11 |
| 1508140856 | Susan Cianfaglione | Counselor | 1526 Versailles Ave, No. 1, Norfolk, VA 23509-1146 | 2011-10-05 |
| Find all providers in zip 23509 | ||||
| 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 |
|---|---|---|---|---|
| 1144888728 | Jazmine Williams | Behavior Technician | 7911 Redmon Rd Apt D2, Norfolk, VA 23518-3404 | 2019-05-30 |
| 1871150466 | Melissa Anne Smetts | Behavior Technician | 5109 Beamon Rd, Norfolk, VA 23513-2309 | 2019-05-20 |
| 1356802920 | Parker Forrest Clay | Behavior Technician | 9411 Hickory St, Norfolk, VA 23503-3313 | 2019-03-27 |
| 1992276265 | Samantha R Szohr | Behavior Technician | 1130 Tabb St Ste E, Norfolk, VA 23504-3434 | 2018-12-16 |
| 1861989196 | Deanna Signor | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2018-04-23 |
| 1861900656 | Tia Shimaine Thomas | Behavior Technician | 1130 Tabb St Ste D, Norfolk, VA 23504-3434 | 2018-01-16 |
| 1063920064 | Emily Burgos | Behavior Technician | 5256 Janet Dr, Norfolk, VA 23513-1507 | 2018-01-12 |
| 1063928471 | Rebecca Anne Nickle | Behavior Technician | 501 Carl St, Norfolk, VA 23505-4205 | 2017-12-20 |
| 1295335008 | Claire Olson | Behavior Technician | 443 Kempsville Rd, Norfolk, VA 23502-4727 | 2020-10-30 |
| 1790343382 | Jacob White | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2019-05-30 |
| Find all providers in NORFOLK | ||||
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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.