TYRONE J DUDLEY (NPI# 1154809747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154809747 |
| Entity Type | Individual |
| Full Name | TYRONE J DUDLEY |
| Practice Address |
693 Leesville Rd Lynchburg VA 24502-2828 |
| Mailing Address |
1237 Floyd Ave Sw Roanoke VA 24015-2528 |
| Practice Telephone | 4342005750 |
| Practice Fax Number | 4342371737 |
| Mailing Telephone | 5403977072 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
693 LEESVILLE RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938972 | Ellis M. Karr | Social Worker | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2005-08-03 |
| 1376144931 | Nelly Addo | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-11-02 |
| 1366057531 | Margaret Rose Hybl | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-09-14 |
| 1427662261 | Samantha Clingenpeel | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-31 |
| 1952915712 | Jessica Stinnett Cunningham | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-31 |
| 1346850948 | Nikki Rice | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-07 |
| 1912516642 | Stephannie Malone | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-07-29 |
| 1265041552 | Jeffrey Emmett Mccurry | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-07-23 |
| 1164044863 | Amanda Mae Dinkle | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-05-15 |
| 1366063026 | Heather Ware | Behavioral Analyst | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1578170064 | Yuly Angelica Willard | Assistant Behavior Analyst | 300 Arboretum Pl, Suite 500, Richmond, VA 23236 | 2020-09-28 |
| 1730707340 | Indara Carroll | Assistant Behavior Analyst | 817 Castile Pl, Henrico, VA 23238-5534 | 2020-07-09 |
| 1912523747 | Ariel Nickole Weddle | Assistant Behavior Analyst | 1525 Technology Dr, Chesapeake, VA 23320-5974 | 2020-06-17 |
| 1225663701 | Brittany Kersey-adams | Assistant Behavior Analyst | 1329 Alum Spring Rd, Fredericksburg, VA 22401-8011 | 2020-03-05 |
| 1386299071 | Converge Behavioral Services, LLC | Assistant Behavior Analyst | 11507 Hearthstone Ct, Reston, VA 20191-4403 | 2019-08-08 |
| 1609437078 | Robert Brainard James Jr. | Assistant Behavior Analyst | 21786 Green Stable Sq Apt 212, Ashburn, VA 20147-6777 | 2019-06-26 |
| 1932763117 | Huafeng Wang | Assistant Behavior Analyst | 10135 Yorktown Dr, Great Falls, VA 22066-4208 | 2019-04-23 |
| 1285192195 | Alliance Aba, LLC | Assistant Behavior Analyst | 3330 Bourbon St Ste 126, Fredericksburg, VA 22408-7334 | 2019-03-10 |
| 1720543085 | Rolando A Zelada I | Assistant Behavior Analyst | 406 N Argonne Ave, Sterling, VA 20164-3003 | 2019-01-31 |
| 1659841831 | Impact Behavior Centers LLC | Assistant Behavior Analyst | 108 W Greenway Blvd, Falls Church, VA 22046-4005 | 2018-11-29 |
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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.