JAYA ROSE PERENTIS (NPI# 1205437084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205437084 |
| Entity Type | Individual |
| Full Name | JAYA ROSE PERENTIS |
| Practice Address |
720 Saint James Dr Wilmington NC 28403-2937 |
| Practice Telephone | 9106608200 |
| Practice Fax Number | 9106608199 |
| Mailing Telephone | 9106608200 |
| Mailing Fax Number | 9106608199 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| 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 |
720 SAINT JAMES DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063712099 | Tara Michelle Eichert | Dietitian, Registered | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2010-10-25 |
| 1578164372 | Eleanor Winston | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1013518810 | Caroline Faith Pittman | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1477154425 | Miranda Sue Durcholz | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-05 |
| 1548878127 | Michael John Mathews | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-07-20 |
| 1548885817 | Tiffany R Kronenwetter | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-06-12 |
| 1174174270 | Alexandria Rae Brown | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2019-09-20 |
| 1518429026 | Connor Marie Sheehan | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2019-04-03 |
| 1013497379 | Ashleigh Lynn Leuck | Psychologist | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2018-08-16 |
| 1255811592 | Ryan Charles Blejewski | Psychologist | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2018-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| 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 |
|---|---|---|---|---|
| 1447850300 | Caroline Elizabeth Boyette | Behavior Technician | 5018 Hunt Club Rd Apt 7, Wilmington, NC 28403-0645 | 2020-10-29 |
| 1558961417 | Olivia Grace Warren | Behavior Technician | 217 Greenville Ave Unit B, Wilmington, NC 28403-3511 | 2020-10-29 |
| 1912504200 | Nakiayah Wilson | Behavior Technician | 4023 Kennett Pike, Wilmington, DE 19807-2018 | 2020-10-08 |
| 1710584156 | Sarah Sacconey | Behavior Technician | 4023 Kennett Pike # 988, Wilmington, DE 19807-2018 | 2020-10-08 |
| 1851931208 | Wendy Hebenstreit | Behavior Technician | 953 Downey Branch Ln, Wilmington, NC 28403-4244 | 2020-01-14 |
| 1518504562 | Marissa Leigh Russell | Behavior Technician | 422 Alpine Dr, Wilmington, NC 28403-0202 | 2019-12-09 |
| 1104482470 | Savannah Jayne Brinkley | Behavior Technician | 706 Indica Ct Apt 201, Wilmington, NC 28405-1113 | 2019-05-13 |
| 1982165676 | Emily Mae Mason | Behavior Technician | 3124 Evergreen Dr, Wilmington, MA 01887-1176 | 2019-03-26 |
| 1093274052 | Haeli Dove | Behavior Technician | 353 Darlington Ave Unit 105, Wilmington, NC 28403-1370 | 2019-03-18 |
| 1417416801 | Jessica Mary Michele Kanach | Behavior Technician | 29 Marion St, Wilmington, MA 01887-3131 | 2019-03-15 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.