MISS CYNTHIA IRENE WALL (NPI# 1215247382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215247382 |
| Entity Type | Individual |
| Full Name | MISS CYNTHIA IRENE WALL |
| Credential | BCBA |
| Practice Address |
118 Long Pond Rd Suite 205 Plymouth MA 02360-2662 |
| Mailing Address |
19019 Ventura Blvd Tarzana CA 91356-3253 |
| Practice Telephone | 5087320088 |
| Practice Fax Number | 5087320078 |
| Mailing Telephone | 8183452345 |
| Mailing Fax Number | 8187588015 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-11-8622 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154480390 | Cynthia Shirley Wall | Pharmacist | Hwy 47 and 34, Ft. Thompson, SD 57339 | 2006-12-06 |
| 1649359001 | Cynthia Lynn Wall | Social Worker | 30077 Simpson Ln, Fort Bragg, CA 95437-7759 | 2006-11-03 |
| 1679932701 | Cynthia Wall | Nurse Practitioner | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2016-02-17 |
| 1588915326 | Cynthia Ann Wall | Counselor | 109 W 4th Ave, Tallahassee, FL 32303-6152 | 2012-09-19 |
| 1902976053 | Cynthia S Wall | Speech-Language Pathologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2006-11-08 |
| 1255434262 | Cynthia Jane Wall | Counselor | 2458 Stetzer Rd, Bucyrus, OH 44820-2066 | 2006-09-06 |
| 1134139330 | Cynthia Jean Wall | Psychologist | 8050 E Highway 191, Suite 206, Odessa, TX 79765-8613 | 2006-08-09 |
| Street Address |
118 LONG POND RD SUITE 205 |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962477224 | Maryanne C Bombaugh | Obstetrics & Gynecology | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2006-02-21 |
| 1043825805 | Ann Michelle Connors | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2020-09-09 |
| 1942853015 | Lydia Brejcha | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2019-07-18 |
| 1639645526 | Jocelyn Monti | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2018-10-17 |
| 1154819837 | Jonathon Blackwell | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2018-04-27 |
| 1225532948 | Debra Jean Walsh | Massage Therapist | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2018-03-19 |
| 1306374947 | Edwin Mendez | Marriage & Family Therapist | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2017-05-26 |
| 1730537606 | Amele Pam | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2016-06-01 |
| 1023495710 | Erin Newcomb | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2015-05-01 |
| 1972908853 | Meghan Mccallum | Counselor | 118 Long Pond Rd, Suite 102, Plymouth, MA 02360-2662 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265079321 | Brianna Kestle | Behavioral Analyst | 1550 Pidco Dr, Plymouth, IN 46563-1355 | 2019-12-06 |
| 1245871730 | Benjamin Hankey | Behavioral Analyst | 2600 Fernbrook Ln N, Plymouth, MN 55447-4752 | 2019-10-05 |
| 1013474600 | Elizabeth Anne Waite-petri | Behavioral Analyst | 10 Evelyn Rd, Plymouth, MA 02360-3119 | 2019-03-01 |
| 1699245977 | Julie Wilde | Behavioral Analyst | 123 Sandwich St, Plymouth, MA 02360-2421 | 2018-11-29 |
| 1982199246 | Meg Cox | Behavioral Analyst | 650 Church St Ste 207, Plymouth, MI 48170-1689 | 2018-06-28 |
| 1780197814 | Kathleen Dorn | Behavioral Analyst | 29 Park Rd, Plymouth, MA 02360-4440 | 2017-11-11 |
| 1366970501 | Lauren Marie Mellon | Behavioral Analyst | 35 Brigantine Cir, Plymouth, MA 02360-1701 | 2017-06-01 |
| 1225583685 | Katie Blom | Behavioral Analyst | 16 Chilton St Apt 1f, Plymouth, MA 02360-8706 | 2016-08-15 |
| 1366996522 | Christine Kimball | Behavioral Analyst | 5 Powell St, Plymouth, MA 02360-5245 | 2016-08-05 |
| 1487108635 | Karen Ann Burns | Behavioral Analyst | 58 Joyce Dr, Plymouth, MA 02360-2368 | 2016-08-04 |
| Find all providers in PLYMOUTH | ||||
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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.