JACQUELINE SMITH-TINGLE


Address: 302 Industrial Ct Se, Leesburg, VA 20175-3731
Phone: 5712648383

JACQUELINE SMITH-TINGLE (NPI# 1184152035) 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) 1184152035
Entity Type Individual
Full Name JACQUELINE SMITH-TINGLE
Other Name JACQUELINE TINGLE
Practice Address 302 Industrial Ct Se
Leesburg
VA 20175-3731
Mailing Address 673 Potomac Station Dr Ne Ste 708
Leesburg
VA 20176-1819
Practice Telephone 5712648383
Practice Fax Number 7036694878
Mailing Telephone 5712648383
Mailing Fax Number 7036694878
Enumeration Date 2017-05-23
Last Update Date 2017-05-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 302 INDUSTRIAL CT SE
City LEESBURG
State VA
Zip Code 20175-3731

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043748981 Behavioral Solutions Assessment Consulting Services of Virginia Community/Behavioral Health 302 Industrial Ct Se, Leesburg, VA 20175-3731 2017-05-23

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Taxonomy Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

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]

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1912523747 Ariel Nickole Weddle Assistant Behavior Analyst 1525 Technology Dr, Chesapeake, VA 23320-5974 2020-06-17
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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
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Competitor

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City LEESBURG
Zip Code 20175

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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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