GENELA GISSEL VALLEJO DE PETER (NPI# 1124525274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124525274 |
| Entity Type | Individual |
| Full Name | GENELA GISSEL VALLEJO DE PETER |
| Other Name | GENELA GISSEL VALLEJO DE PETER |
| Practice Address |
140 Roscommon Ct Tyrone GA 30290-1879 |
| Practice Telephone | 4707764223 |
| Mailing Telephone | 4707764223 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | GA | Behavioral Health & Social Service Providers |
| Street Address |
140 ROSCOMMON CT |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-1879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356848360 | Kp Behaviors Options LLC | Behavioral Analyst | 140 Roscommon Ct, Tyrone, GA 30290-1879 | 2018-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| 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 |
|---|---|---|---|---|
| 1851819627 | Jesee Danielle Toms | Behavior Technician | 221 Bornite, Tyrone, NM 88065 | 2017-08-31 |
| 1104446202 | Melanie Street Harper | Behavior Technician | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-04-20 |
| 1578183570 | Hilary Ann Leahy | Behavior Technician | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-04-20 |
| 1043830136 | Kerstin Elizabeth Powell | Behavior Technician | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-04-20 |
| 1811517915 | Jessica Elaine Washington | Behavior Technician | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-04-20 |
| 1417576992 | Tiffany Michele Trautner | Behavior Technician | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083802 | Alyssa Toney | Behavior Technician | 4606 Treehills Pkwy, Stone Mountain, GA 30088-3088 | 2020-11-05 |
| 1609477694 | Elizabeth Cobb | Behavior Technician | 2147 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2020-11-05 |
| 1699376855 | Megan Elizabeth Lee Johnsoln | Behavior Technician | 700 Preston Glen Cir, Apt. 303, Canton, GA 30114-3011 | 2020-11-04 |
| 1730789504 | Fabian Alejandro Martinez | Behavior Technician | 470 16th St Nw Apt 1028, Atlanta, GA 30363-3003 | 2020-10-29 |
| 1336749258 | Rosalyn E Williams | Behavior Technician | 1050 Rock Quarry Rd Apt 100, Stockbridge, GA 30281-6404 | 2020-10-29 |
| 1306446448 | Kristen West | Behavior Technician | 3552 Orchard Cir, Decatur, GA 30032-2510 | 2020-10-28 |
| 1376143461 | Marika Deliyianni | Behavior Technician | 9645 Pine Thicket Way, Roswell, GA 30075-4331 | 2020-10-28 |
| 1932709037 | Missy Nicole Day | Behavior Technician | 310 Northlake Dr Apt 32, Warner Robins, GA 31093-1675 | 2020-10-28 |
| 1497355416 | Devonta Markeice Lancaster | Behavior Technician | 2200 Satellite Blvd Apt 701, Duluth, GA 30097-4018 | 2020-10-28 |
| 1316547607 | Nyasia Phillips | Behavior Technician | 126 Smart Ln, Sylvania, GA 30467-8269 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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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.