ALEX THANH THACH (NPI# 1063022598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063022598 |
| Entity Type | Individual |
| Full Name | ALEX THANH THACH |
| Practice Address |
205 Burlington Rd Bedford MA 01730-1406 |
| Practice Telephone | 7817615089 |
| Mailing Telephone | 7817615089 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NETWORK HEALTH | 99618201 | 01 |
| MA | NHP | 1004745 | 01 |
| MA | MBHP | 1303287 | 01 |
| MA | FALLON | 1004745 | 01 |
| MA | BMC | 0000023532 | 01 |
| MA | TAX ID | 042611055 | 01 |
| MA | BCBS | M18633 | 01 |
| Street Address |
205 BURLINGTON RD |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871530071 | Daniel M Teplin | Psychiatry & Neurology | 205 Burlington Rd, Bedford, MA 01730-1406 | 2006-05-31 |
| 1740881317 | Adam Mayhew | Behavioral Analyst | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-11-02 |
| 1457968125 | Daphne Jean Thompson | Behavior Technician | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-28 |
| 1689280877 | Jane M Marshall | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-22 |
| 1609482900 | Julia Burke | Behavior Technician | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-22 |
| 1851907273 | Julie Morris | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-21 |
| 1427661206 | Nicole Racamato | Behavioral Analyst | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-08-31 |
| 1346853066 | Neha Penmetsa | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-08-24 |
| 1184237893 | Courtney Phillips | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-08-24 |
| 1922611631 | Kelley Marie Mcnary | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| 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 |
|---|---|---|---|---|
| 1780290510 | Joshua West | Behavior Technician | 3 Executive Park Dr Ste 279, Bedford, NH 03110-7067 | 2020-09-17 |
| 1649837485 | Susan L Sennett | Behavior Technician | 360 Nh 101 Ste 11, Bedford, NH 03110-5031 | 2019-05-28 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1366973893 | Mercedes Hamilton | Behavior Technician | 307 Crenshaw St, Bedford, VA 24523-2609 | 2017-03-26 |
| 1699375667 | Danielle Agostinello | Behavior Technician | 360 Route 101 Ste 11, Bedford, NH 03110-5031 | 2020-10-29 |
| 1174123145 | Eryn Hume | Behavior Technician | 360 Route 101 Ste 11, Bedford, NH 03110-5031 | 2020-10-29 |
| 1952908295 | Christy Guerrier | Behavior Technician | 360 Route 101 Ste 11, Bedford, NH 03110-5031 | 2020-10-08 |
| 1457968125 | Daphne Jean Thompson | Behavior Technician | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-28 |
| 1609482900 | Julia Burke | Behavior Technician | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-22 |
| 1447865571 | Margaret Fritz | Behavior Technician | 270 Union St, Bedford, OH 44146-4546 | 2020-09-15 |
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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.