STACI LEEANN RICHARDS (NPI# 1255836524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255836524 |
| Entity Type | Individual |
| Full Name | STACI LEEANN RICHARDS |
| Practice Address |
153 Independence Dr Carrollton GA 30116-9000 |
| Practice Telephone | 7708366678 |
| Practice Fax Number | 7708302266 |
| Mailing Telephone | 7708366678 |
| Mailing Fax Number | 7708302266 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1206 Franklin Pkwy, Franklin, GA 302177508 | 7066756399 | 7066750254 |
| Street Address |
153 INDEPENDENCE DR |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30116-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851497036 | Marcy A Stidum | Social Worker | 153 Independence Dr, Carrollton, GA 30116-9000 | 2006-09-15 |
| 1154922797 | Brittany Miles | Social Worker | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-11-02 |
| 1346858644 | Amanda Gayle Chambers | Licensed Practical Nurse | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-07-22 |
| 1073149159 | Pamela Arrington | Licensed Practical Nurse | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-03-20 |
| 1316587579 | Matthew Trev Parry | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-01-15 |
| 1194368803 | Heather G James | Peer Specialist | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-10-25 |
| 1568019487 | Katherine Elizabeth Adams | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-08-26 |
| 1932752607 | Amanda Simpson | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-07-22 |
| 1619530037 | Maxine Prince | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-04-22 |
| 1952884967 | Kisha Griffin Farris | Social Worker | 153 Independence Dr, Carrollton, GA 30116-9000 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518338300 | Carri Stewart | Specialist/Technologist | 123 Deer Park Dr, Carrollton, GA 30116 | 2015-10-19 |
| 1376953364 | Pope Counseling, LLC | Counselor | 251 Prism Dr., Suite 11, Carrollton, GA 30116 | 2014-04-30 |
| 1649453622 | Samantha Mindy Heard | Licensed Practical Nurse | 11 Oakridge Drive, Carrollton, GA 30116 | 2007-12-12 |
| 1528263837 | Nikki Kennedy | Contractor | 115 Castleman Road, Carrollton, GA 30116 | 2007-06-18 |
| 1841385671 | Margo Barnard | Counselor | 1774 Shady Grove Road, Carrollton, GA 30116 | 2006-10-04 |
| 1144878653 | Crystal Kelley Harden | Licensed Practical Nurse | 102 Quail Run, Carrollton, GA 30116-1894 | 2019-08-28 |
| 1871112110 | Lorie Maxwell Startup | Registered Nurse | 113 Central High Rd, Carrollton, GA 30116-4452 | 2020-04-15 |
| 1669960886 | Cindy R. Hunter | Dietitian, Registered | 104 Stoney Way, Carrollton, GA 30116-5108 | 2018-04-23 |
| 1659835320 | Gabriel Gherman | Pharmacist | 1963 Four Notch Rd, Carrollton, GA 30116-5223 | 2019-01-28 |
| 1144654013 | Cameron David Mount | Counselor | 997 Eagles Nest Cir, Carrollton, GA 30116-5496 | 2013-08-28 |
| Find all providers in zip 30116 | ||||
| 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 |
|---|---|---|---|---|
| 1275172074 | Castina Ronae' Hearn | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2019-12-27 |
| 1699376913 | Katiana Estrada | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-11-03 |
| 1568060879 | Jordan Leigh Wilson | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-10-09 |
| 1285232520 | Amber Fluker | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-10-09 |
| 1548873250 | Dakindria King | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-08-24 |
| 1386253508 | Shantell Marie Faithful | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-07-23 |
| 1174131460 | Cassandra Huffman | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-07-22 |
| 1609484351 | Marisol Huerta | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-07-20 |
| 1437775178 | Semira Abdourezak | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-06-18 |
| 1023633906 | Gloria Stephanie Rinconi De La Sancha | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-06-16 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30116 |
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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.