BETHANY WELBORN (NPI# 1053555243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053555243 |
| Entity Type | Individual |
| Full Name | BETHANY WELBORN |
| Practice Address |
751 E Georgia Rd Suite 100 Woodruff SC 29388-8787 |
| Mailing Address |
751 East Georgia Rd Suite 100 Woodruff SC 29388 |
| Practice Telephone | 8644767400 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2013-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-13-13407 | Behavioral Health & Social Service Providers |
| Street Address |
751 E GEORGIA RD SUITE 100 |
| City | WOODRUFF |
| State | SC |
| Zip Code | 29388-8787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143634 | Kathryn Porter Grooms | Assistant Behavior Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2020-01-10 |
| 1619519899 | Charise Guest | Behavioral Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2019-10-09 |
| 1790327971 | Kristen Cox | Assistant Behavior Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2019-10-09 |
| 1881236065 | Lynn Ann Macmurray | Assistant Behavior Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2019-10-09 |
| 1568023059 | Victoria Grace Johnson | Behavioral Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2019-06-25 |
| 1538725304 | Sarah Gardner Daley | Assistant Behavior Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2019-05-16 |
| 1023591179 | Laura Shields | Behavioral Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2018-09-13 |
| 1003320599 | Project Hope Foundation | Behavioral Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2017-11-20 |
| 1891227989 | Laura Baxley | Speech-Language Pathologist | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2017-03-29 |
| 1346786415 | Kelsey Starr Stroud | Behavioral Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2017-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336370 | Lindsay Jeanne Small | Behavioral Analyst | 751 East Georgia St, Woodruff, SC 29388 | 2020-08-12 |
| 1467092916 | Jessica Florez | Assistant Behavior Analyst | 751 E. Georgia St, Woodruff, SC 29388 | 2020-01-13 |
| 1124548862 | Virginia Lanier | Behavioral Analyst | 751 E Georgia Street, Woodruff, SC 29388 | 2017-06-23 |
| 1811434681 | Anna M Stoudenmire | Behavioral Analyst | 751 E Gerogia Road, Woodruff, SC 29388 | 2017-01-31 |
| 1912365883 | Nicole Vanegas | Behavioral Analyst | 751 East Georgia Road, Ste 100, Woodruff, SC 29388 | 2016-02-05 |
| 1215393871 | Shannon Leigh Tyner Thompson | Behavioral Analyst | 751 E. Georgia Street, Woodruff, SC 29388 | 2016-01-12 |
| 1255775730 | Samantha Jenkins Amick | Speech-Language Pathologist | 915 Cross Anchor Road, Woodruff, SC 29388 | 2013-04-26 |
| 1366792889 | Kathleen Brown Harrington | Pharmacist | 654 Chickenfoot Creek Road, Woodruff, SC 29388 | 2012-09-12 |
| 1093018228 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 820 N. Main St., Woodruff, SC 29388 | 2010-12-09 |
| 1134448806 | Carolina Vision Associates, LLC | Optometrist | 363 E. Georgia St, Woodruff, SC 29388 | 2010-05-20 |
| Find all providers in zip 29388 | ||||
| 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 |
|---|---|---|---|---|
| 1194336370 | Lindsay Jeanne Small | Behavioral Analyst | 751 East Georgia St, Woodruff, SC 29388 | 2020-08-12 |
| 1124548862 | Virginia Lanier | Behavioral Analyst | 751 E Georgia Street, Woodruff, SC 29388 | 2017-06-23 |
| 1811434681 | Anna M Stoudenmire | Behavioral Analyst | 751 E Gerogia Road, Woodruff, SC 29388 | 2017-01-31 |
| 1912365883 | Nicole Vanegas | Behavioral Analyst | 751 East Georgia Road, Ste 100, Woodruff, SC 29388 | 2016-02-05 |
| 1215393871 | Shannon Leigh Tyner Thompson | Behavioral Analyst | 751 E. Georgia Street, Woodruff, SC 29388 | 2016-01-12 |
| 1083868814 | Mark Stephen Knight | Behavioral Analyst | 751 E. Georgia St., Suite 100, Woodruff, SC 29388 | 2008-11-06 |
| 1639705395 | Jessica Duncan Worthington | Behavioral Analyst | 751 East Georgia Street, Woodruff, SC 29388 | 2020-03-13 |
| 1619519899 | Charise Guest | Behavioral Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2019-10-09 |
| 1568023059 | Victoria Grace Johnson | Behavioral Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2019-06-25 |
| 1023591179 | Laura Shields | Behavioral Analyst | 751 E Georgia Rd, Woodruff, SC 29388-8787 | 2018-09-13 |
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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.