LENESE BROCK (NPI# 1134750409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134750409 |
| Entity Type | Individual |
| Full Name | LENESE BROCK |
| Practice Address |
3736 Preakness Dr Decatur GA 30034-3342 |
| Practice Telephone | 4042904214 |
| Mailing Telephone | 4042904214 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| 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 |
3736 PREAKNESS DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| 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 |
|---|---|---|---|---|
| 1306446448 | Kristen West | Behavior Technician | 3552 Orchard Cir, Decatur, GA 30032-2510 | 2020-10-28 |
| 1588274377 | Tameka Parker | Behavior Technician | 465 Winn Way # 130140, Decatur, GA 30030-1753 | 2020-08-05 |
| 1992279418 | Kinesha Johnson | Behavior Technician | 3001 Tarian Way, Decatur, GA 30034-2900 | 2019-01-17 |
| 1518565548 | Avery Claire Pope | Behavior Technician | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-10-12 |
| 1346847498 | Ebony Crockton | Behavior Technician | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2020-10-01 |
| 1184230237 | Miracle Penny | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-09-23 |
| 1134735236 | Katherine Allen | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-09-23 |
| 1033725247 | Emily Mitchell | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-09-22 |
| 1003422403 | Abigail Yaa Mireku | Behavior Technician | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2020-09-21 |
| 1902410624 | Erryn Jones | Behavior Technician | 160 Clairemont Ave, Decatur, GA 30030-2500 | 2020-09-01 |
| Find all providers in DECATUR | ||||
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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.