AUTISM IN MOTION CLINICS, LLC (NPI# 1255850525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255850525 |
| Entity Type | Organization |
| Organization Name | AUTISM IN MOTION CLINICS, LLC |
| Practice Address |
22461 I 30 Ste 1100b Bryant AR 72022-2379 |
| Mailing Address |
217 Wildflower Ct Hot Springs AR 71909-9777 |
| Practice Telephone | 4049358283 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | GEORGE BOGHOS (MANAGER) |
| Authorized Official Telephone | 4049358283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Autism in Motion Clinics, LLC | 176 West Greebway Court, Pueblo West, CO 81007 |
| Street Address |
22461 I 30 STE 1100B |
| City | BRYANT |
| State | AR |
| Zip Code | 72022-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
| 1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
| 1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
| 1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| Find all providers in zip 72022 | ||||
| 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 |
|---|---|---|---|---|
| 1881259430 | Breanna Renee Owens | Behavioral Analyst | 22461 Interstate 30 S Ste 1100b, Bryant, AR 72022-2379 | 2019-05-08 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1639474018 | Rebecca Stevens | Behavioral Analyst | 22461 I 30, Building 1000, Bryant, AR 72022-2364 | 2011-01-17 |
| 1972801074 | Sara Langley | Behavioral Analyst | 22461 I 30, Bryant, AR 72022-2364 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801543 | Learning and Behavior Consulting LLC | Behavioral Analyst | 364 Jtl Pkwy E, Springdale, AR 72762-8414 | 2020-11-02 |
| 1760097133 | Racheal Thrailkill | Behavioral Analyst | 1500 Cheri Whitlock Dr, Siloam Springs, AR 72761-9100 | 2020-09-13 |
| 1912539594 | Melissa Claire Glory | Behavioral Analyst | 5704 Euper Ln Ste 100, Fort Smith, AR 72903-3256 | 2020-02-11 |
| 1134764780 | Mary Ann Mcintyre | Behavioral Analyst | 3677 W Weir Rd, Fayetteville, AR 72704-5906 | 2019-11-07 |
| 1649813460 | Emily Bev Gauldin | Behavioral Analyst | 6836 Isaacs Orchard Rd, Springdale, AR 72762-6096 | 2019-10-24 |
| 1497309074 | Brittany Diane Hale | Behavioral Analyst | 111 Greystone Dr, Greenbrier, AR 72058-9810 | 2019-07-31 |
| 1114488269 | Kasi Weathers | Behavioral Analyst | 3133 Mount Tabor Rd, Cabot, AR 72023-9557 | 2019-03-29 |
| 1134688898 | Arkansas Dementia and Behavioral Health Research Center, LLC | Behavioral Analyst | 11321 Interstate 30 Ste 308, Little Rock, AR 72209-7067 | 2019-03-12 |
| 1396220836 | Rebekah Jordan Holiman | Behavioral Analyst | 2601 N Walton Blvd, Bentonville, AR 72712-4302 | 2018-10-01 |
| 1053891937 | Bev Graham | Behavioral Analyst | 3155 N College Ave Ste 108, Fayetteville, AR 72703-3500 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
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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.