REGINALD LAMONT ANDERSON


Address: 126 Pavilion Pkwy, Fayetteville, GA 30214-4056
Phone: 7709548988

REGINALD LAMONT ANDERSON (NPI# 1154921880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154921880
Entity Type Individual
Full Name REGINALD LAMONT ANDERSON
Credential RBT, BS
Practice Address 126 Pavilion Pkwy
Fayetteville
GA 30214-4056
Mailing Address 3500 Depauw Blvd Ste 3070
Indianapolis
IN 46268-6135
Practice Telephone 7709548988
Mailing Telephone 8553240885
Mailing Fax Number 3175208200
Enumeration Date 2020-10-30
Last Update Date 2020-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician RBT-20-139183 GA Behavioral Health & Social Service Providers

Other Providers REGINALD ANDERSON

NPI Name Taxonomy Address Enumeration
1740532589 Reginald Anderson Clinical Exercise Physiologist 328 Peterson Rd, Libertyville, IL 60048-1008 2012-10-03
1619470713 Reginald Kent Anderson Counselor 14240 Imperial Hwy, La Mirada, CA 90638-1940 2018-03-14
1821229337 Reginald M Anderson Chiropractor 1126 S 3rd St, Louisville, KY 40203-2902 2009-07-31

Office Location

Street Address 126 PAVILION PKWY
City FAYETTEVILLE
State GA
Zip Code 30214-4056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447718630 Lauren Ann Mcloughlin Behavioral Analyst 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2019-03-06
1427659598 Jessica Foster Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-11-05
1801497979 Amber Cloud Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-11-05
1750982724 Khalynn Lewis Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-11-05
1073114047 Deanna Mathis Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-11-05
1508467572 Maria Repanshek Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-11-05
1306447370 Eric Tarver Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-11-05
1730780701 Taneisha Lewis Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-11-05
1235730300 Shameka Hall Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-11-05
1073114575 Alexa Nicole Echevarria Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629675137 Vera Jacobs Behavior Technician 205 White Tail Ct, Fayetteville, GA 30214-4923 2020-10-07
1497361141 Gita Krishna Behavior Technician 351 Wagoner Dr Ste 325, Fayetteville, NC 28303-4674 2020-09-18
1295351070 Judy Jenkins Alexander Behavior Technician 917b Laurel St, Fayetteville, NC 28303-4046 2020-06-17
1467077180 Kayla Ann Disanti Behavior Technician 447 Tradewinds Dr Apt H, Fayetteville, NC 28314-2496 2020-06-09
1164056081 Khadijah Lurene Bean Behavior Technician 3450 Dorado Cir Apt 301, Fayetteville, NC 28304-0635 2020-02-29
1255970745 Charna Patrice Mcnair Behavior Technician 5741 Dobson Dr, Fayetteville, NC 28311-3452 2019-12-31
1730738204 Tachi Alexis Hogans Behavior Technician 1016 Issac Dock Dr, Fayetteville, NC 28314-8425 2019-09-08
1396393427 Alsha A Moon Behavior Technician 5533 Livingston Dr, Fayetteville, NC 28311-1839 2019-09-02
1366991788 Jintana Cutno Wiggins Behavior Technician 2008 Wheeling St, Fayetteville, NC 28303-6330 2016-09-27
1720482904 Denise Travolina Behavior Technician 1541 Laurel Oak Dr, Fayetteville, NC 28314-6221 2014-10-16
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

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.

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