BLACKWEST, LLC (NPI# 1134731045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134731045 |
| Entity Type | Organization |
| Organization Name | BLACKWEST, LLC |
| Practice Address |
703 Atlanta Rd Cumming GA 30040-2705 |
| Practice Telephone | 7708866204 |
| Mailing Telephone | 7708866204 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | MRS. HAILEY BLACKSTOCK (CEO) |
| Authorized Official Telephone | 7708866204 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
703 ATLANTA RD |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619215712 | Karen Marie Corby | Occupational Therapist | 703 Atlanta Rd, Cumming, GA 30040-2705 | 2013-01-24 |
| 1801435151 | Breon Cornelius | Behavioral Analyst | 703 Atlanta Rd, Cumming, GA 30040-2705 | 2020-01-03 |
| 1033670484 | Melissa Gissel Sanchez | Behavioral Analyst | 703 Atlanta Rd, Cumming, GA 30040-2705 | 2019-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| 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 |
|---|---|---|---|---|
| 1669084398 | Mallory Moore | Behavioral Analyst | 102 Mary Alice Park Rd Ste 304, Cumming, GA 30040-2683 | 2020-08-24 |
| 1093346389 | Inga Haut | Behavioral Analyst | 4045 Montgrove Gln, Cumming, GA 30041-7376 | 2020-01-27 |
| 1912487059 | Jana Coleman | Behavioral Analyst | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2018-08-17 |
| 1649776592 | New Day Aba Therapy LLC | Behavioral Analyst | 2450 Atlanta Hwy Ste 902, Cumming, GA 30040-1252 | 2018-03-31 |
| 1063878593 | Melanie Sugar | Behavioral Analyst | 8220 Stonebrook Ct, Cumming, GA 30040-6617 | 2016-01-13 |
| 1356777056 | Elizabeth Landers | Behavioral Analyst | 410 Peachtree Pkwy Ste 4245, Cumming, GA 30041-7407 | 2013-09-25 |
| 1043508146 | Dana Louise Shroyer | Behavioral Analyst | 7110 Mcbrayer Rd, Cumming, GA 30028-8957 | 2011-07-11 |
| 1740517432 | Jessica L. Spies | Behavioral Analyst | 7065 Oakcreek Trce, Cumming, GA 30041-3405 | 2009-11-17 |
| 1487892006 | Kimberly Castro Seymour | Behavioral Analyst | 564 Peachtree Pkwy, Suite 105, Cumming, GA 30041-9327 | 2009-02-04 |
| 1801435151 | Breon Cornelius | Behavioral Analyst | 703 Atlanta Rd, Cumming, GA 30040-2705 | 2020-01-03 |
| Find all providers in CUMMING | ||||
Please comment or provide details below to improve the information on BLACKWEST, LLC.
| 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.