MRS. KELLY J HAZEL (NPI# 1235782780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235782780 |
| Entity Type | Individual |
| Full Name | MRS. KELLY J HAZEL |
| Practice Address |
8927 Mount Tabor Rd Middletown MD 21769-9220 |
| Practice Telephone | 6103680219 |
| Mailing Telephone | 6103680219 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| 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 |
8927 MOUNT TABOR RD |
| City | MIDDLETOWN |
| State | MD |
| Zip Code | 21769-9220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861775777 | Lisa Rae Augustine | Speech-Language Pathologist | 8170 Hollow Road, Middletown, MD 21769 | 2011-09-27 |
| 1679676704 | Rudman & Kane Pa | Dentist | 807 E Main St, Middletown, MD 21769 | 2006-09-06 |
| 1760491666 | Middletown Sport and Spine LLC | Physical Therapist | 205 S. Church Street, Suite B, Middletown, MD 21769 | 2006-08-07 |
| 1487619474 | Sheli Agarwal | Family Medicine | 300 South Church St, Middletown, MD 21769 | 2006-04-20 |
| 1831444538 | Jamison Allyn Strachan | Social Worker | 16 Walnut Street, Middletown, MD 21769 | 2012-07-18 |
| 1225204894 | Kristina Deanne Gaskins | Pharmacist | 312 Broad Street, Unit F68, Middletown, MD 21769 | 2008-05-05 |
| 1972706448 | Benjamin Leslie Krepps | Anesthesiology | 6 W Main St, Middletown, MD 21769 | 2007-06-11 |
| 1073933347 | Kyle Paradise | Registered Nurse | 6425 Zittlestown Rd, Middletown, MD 21769-6205 | 2014-04-24 |
| 1306062310 | Brittany Coffman | Physician Assistant | 3376 Sumantown Rd, Middletown, MD 21769-6409 | 2007-04-18 |
| 1730616483 | Elke Van Delden | Massage Therapist | 7332 Picnic Woods Rd, Middletown, MD 21769-7111 | 2017-05-12 |
| Find all providers in zip 21769 | ||||
| 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 |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1780205336 | Maren Rachel Konrady | Behavior Technician | 200 Maslin Valley Ln, Middletown, VA 22645-1940 | 2020-05-05 |
| 1891334066 | Erin Shaw | Behavior Technician | 50 Pearl St E, Middletown, NJ 07748-1150 | 2020-01-05 |
| 1144863671 | Robyn Devaughn | Behavior Technician | 101 Centerpoint Dr Ste 243, Middletown, CT 06457-7568 | 2019-10-28 |
| 1588211601 | Amma N Osafo | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2019-08-22 |
| 1033626023 | Rachel V Williams | Behavior Technician | 166 Renfrew Ave, Middletown, RI 02842-5829 | 2017-12-29 |
| 1124534110 | Lena Shenk-foley | Behavior Technician | 160 Oliphant Ln, Middletown, RI 02842-4646 | 2017-12-28 |
| 1326647397 | Damien Lee Rosa | Behavior Technician | 101 Centerpoint Dr Ste 243, Middletown, CT 06457-7568 | 2020-10-21 |
| 1548875933 | Kelsey Cronin | Behavior Technician | 160 Oliphant Ln, Middletown, RI 02842-4646 | 2020-09-11 |
| 1457978140 | Taylor Harton | Behavior Technician | 101 Centerpoint Dr Ste 243, Middletown, CT 06457-7568 | 2020-06-29 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 21769 |
Please comment or provide details below to improve the information on MRS. KELLY J HAZEL.
| 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.