ANASTASIA KOUKOULIS (NPI# 1144889338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144889338 |
| Entity Type | Individual |
| Full Name | ANASTASIA KOUKOULIS |
| Credential | MA.T |
| Practice Address |
3359 Cheverly Ct Abingdon MD 21009-2854 |
| Mailing Address |
3359 Cheverly Court Abingdon MD 21009 |
| Practice Telephone | 7273660323 |
| Mailing Telephone | 7273660323 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3359 CHEVERLY CT |
| City | ABINGDON |
| State | MD |
| Zip Code | 21009-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033657986 | Cpdg,ab, LLC | Dentist | 3400 Box Hill Corporate Center Drive, Suite 120, Abingdon, MD 21009 | 2017-02-10 |
| 1356734230 | Pardis Parizadeh | Dentist | 3435 Box Hill Corporate Center Dr Ste E, Abingdon, MD 21009 | 2015-03-16 |
| 1033529391 | Ademola O Cole | Dentist | 3486 C Emmorton Road, Abingdon, MD 21009 | 2014-05-07 |
| 1144649336 | Troy Michael Englehart II | Contractor | 1401 Pulaski Higjway, F, Edgewood, MD 21009 | 2014-04-15 |
| 1376964726 | Jessica L Brinegar | Physical Therapist | 3465 Box Hill Corporate Center Dr Ste G, Abingdon, MD 21009 | 2014-01-01 |
| 1790024016 | Pamela S Baer | Psychologist | 3105 Emmorton Road, Abingdon, MD 21009 | 2013-02-06 |
| 1205028271 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 3491 Merchant Boulevard, Suite 108, Abingdon, MD 21009 | 2007-08-14 |
| 1306037627 | Jacquelin Landsman | Physical Therapist | Upper Chesapeake Orthopedics: Center for Sports Med, 101 Walter Ward Blvd, Abingdon, MD 21009 | 2007-08-05 |
| 1144373911 | Carol L Bowman | Internal Medicine | 3445 E Box Hill Corporate Center Drive, Abingdon, MD 21009 | 2007-01-18 |
| 1750467338 | Michael Kevin Block | Podiatrist | 3401 Box Hill Corporate Ctr Dr, Suite 201, Abingdon, MD 21009 | 2006-10-27 |
| Find all providers in zip 21009 | ||||
| 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 |
|---|---|---|---|---|
| 1023558913 | Amanda Wilkinson | Behavioral Analyst | 514 Callander Way, Abingdon, MD 21009-2655 | 2017-02-27 |
| 1538571658 | Rebecca Ferry | Behavioral Analyst | 18485 Keeneland Ln, Abingdon, VA 24211-7155 | 2014-05-22 |
| 1497106413 | Jordan Varney | Behavioral Analyst | 661 E Main St, Abingdon, VA 24210-2339 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678974 | Personalized Academy of Learning Inc | Behavioral Analyst | 20945 Great Mills Rd Ste 201, Lexington Park, MD 20653-5304 | 2020-10-27 |
| 1235736521 | Ari Dinsmoor | Behavioral Analyst | 1150 Ripley St Apt 1308, Silver Spring, MD 20910-7431 | 2020-10-08 |
| 1386241750 | Alexander R Arevalo | Behavioral Analyst | 8558 Black Star Cir, Columbia, MD 21045-2649 | 2020-10-07 |
| 1366058083 | The House Project | Behavioral Analyst | 1314 Glyndon Ave, Baltimore, MD 21223-3613 | 2020-09-17 |
| 1548874753 | Jordan Christine Hoskinson | Behavioral Analyst | 2211 Penfield Ln, Bowie, MD 20716-1427 | 2020-09-04 |
| 1477165868 | Md Mc Sprout 1 LLC | Behavioral Analyst | 7761 Diamondback Rd, College Park, MD 20740-3240 | 2020-08-18 |
| 1871105353 | Haley Armacost | Behavioral Analyst | 13850 Wayside Dr, Clarksville, MD 21029-1305 | 2020-08-17 |
| 1568071819 | Behavior Performance Project | Behavioral Analyst | 2312 Manor Spring Ter, Silver Spring, MD 20906-3267 | 2020-07-23 |
| 1245848142 | Hillary Grande | Behavioral Analyst | 2011 Reuter Rd, Timonium, MD 21093-4337 | 2020-07-16 |
| 1134737349 | Mohamed Lamin Mansaray | Behavioral Analyst | 9737 Mount Pisgah Rd Apt 1210, Silver Spring, MD 20903-2017 | 2020-07-14 |
| 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.