AVERY TRIFONE (NPI# 1194376574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194376574 |
| Entity Type | Individual |
| Full Name | AVERY TRIFONE |
| Practice Address |
16 Gedeon Ave Sturbridge MA 01566-1537 |
| Practice Telephone | 7742894821 |
| Mailing Telephone | 7742894821 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| 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 |
16 GEDEON AVE |
| City | STURBRIDGE |
| State | MA |
| Zip Code | 01566-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609368919 | Martha Charley | Nurse Practitioner | Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | 2018-06-01 |
| 1013407097 | Jolynn Klier | Psychologist | 1 Library Ln N, Sturbridge, MA 01566 | 2018-05-15 |
| 1841703295 | Brandon A Campo | Behavioral Analyst | 54 Main St Unit 0, Sturbridge, MA 01566 | 2017-11-08 |
| 1023407145 | Village Family Chiropractic, LLC | Chiropractor | 58 Main Street, Sturbridge, MA 01566 | 2015-01-13 |
| 1013330166 | Debra Kizilcan | Massage Therapist | 426 Main Street C/o Alternatives for Health, Sturbridge, MA 01566 | 2014-01-27 |
| 1124453659 | Gennady Gelman | Family Medicine | 198 Charlton Rd, Sturbridge, MA 01566 | 2013-09-03 |
| 1710123492 | Heritage Home Health Care, LLC | Home Health | 559 Main Street, Suite 103, Sturbridge, MA 01566 | 2008-12-30 |
| 1225176373 | William Brian Digregorio | Chiropractor | 64 Main St Rt 131, Sturbridge, MA 01566 | 2007-02-01 |
| 1437247889 | Larry A Johnson Dds PC | Dentist | 69 Hall Road, Sturbridge, MA 01566 | 2006-10-11 |
| 1639281090 | Mohamed Hashi Abib | Family Medicine | 128 Main St Ste 4, Sturbridge, MA 01566 | 2006-08-31 |
| Find all providers in zip 01566 | ||||
| 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 |
|---|---|---|---|---|
| 1457813529 | Kayleen Viner | Behavior Technician | 54 Main St, Sturbridge, MA 01566-1281 | 2019-04-05 |
| 1003376625 | Brianna Hope Stanley | Behavior Technician | 54 Main St, Sturbridge, MA 01566-1281 | 2019-03-20 |
| 1023577863 | Kristina Yaede | Behavior Technician | 54 Main St, Sturbridge, MA 01566-1281 | 2019-03-19 |
| 1457810590 | Rebecca Gordon | Behavior Technician | 54 Main St, Sturbridge, MA 01566-1281 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457252 | Jason Chang | Behavior Technician | 3 Boothby Cir, Randolph, MA 02368-5312 | 2020-11-06 |
| 1720689870 | Shelby Normand | Behavior Technician | 2 Longfellow Ln Apt 201, Tyngsboro, MA 01879-2782 | 2020-11-05 |
| 1750982716 | Natasha Charest-ciampa | Behavior Technician | 500 W Cummings Park Ste 1800, Woburn, MA 01801-6506 | 2020-11-05 |
| 1780285064 | Farrah Jean | Behavior Technician | 25 Kovey Rd, Hyde Park, MA 02136-1210 | 2020-11-04 |
| 1619577400 | Noreen-yvaica Joseph | Behavior Technician | 57 Vida St, Methuen, MA 01844-6126 | 2020-10-29 |
| 1194325134 | Laura Copeland-clarke | Behavior Technician | 19 Endicott St, Quincy, MA 02169-7821 | 2020-10-29 |
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1225638398 | Nicholas Makogonov | Behavior Technician | 4 Kinsman St, Beverly, MA 01915-1819 | 2020-10-28 |
| 1720688732 | Zizo Valliere | Behavior Technician | 17 Douglas St, Quincy, MA 02169-6106 | 2020-10-28 |
| 1922608918 | Paulina Elizabeth Chumakov | Behavior Technician | 10 Goodnow Ave, Ashland, MA 01721-1662 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | STURBRIDGE |
| Zip Code | 01566 |
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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.