SHILOH CHILD AND ADOLESCENT DAY TREATMENT SERVICES, LLC


Address: 312 S Franklin St, Rocky Mount, NC 27804-5711
Phone: 2524433045

SHILOH CHILD AND ADOLESCENT DAY TREATMENT SERVICES, LLC (NPI# 1265757785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265757785
Entity Type Organization
Organization Name SHILOH CHILD AND ADOLESCENT DAY TREATMENT SERVICES, LLC
Practice Address 312 S Franklin St
Rocky Mount
NC 27804-5711
Practice Telephone 2524433045
Practice Fax Number 2524432755
Mailing Telephone 2524433045
Enumeration Date 2010-03-29
Last Update Date 2010-03-29
Authorized Official Name MRS. BETTY PLUMMER BROWN (OWNER)
Authorized Official Telephone 2524433045
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst MHL-064111 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES MHL-111 01

Office Location

Street Address 312 S FRANKLIN ST
City ROCKY MOUNT
State NC
Zip Code 27804-5711

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1891107678 Patrick Ignacio Pharmacist 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 2014-05-28
1023437795 Down East Hearing Hearing Aid Equipment 1356 Benvenue Rd., Rocky Mount, NC 27804 2014-04-10
1659710416 Sterling House of Rocky Mount Assisted Living Facility 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 2013-06-14
1700223609 Keenya Anderson Staten Nurse Practitioner 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 2013-05-31
1578844528 Nathan Thomas Long Pharmacist 300 N Grace St Ste 150, Rocky Mount, NC 27804 2011-09-05
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

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1689280828 Cassie Robacker Behavioral Analyst 100 Kathleen Ct, King, NC 27021-8752 2020-09-22
1306452180 Triskele Consulting, LLC Behavioral Analyst 177 W Chestnut St, Asheville, NC 28801-2107 2020-09-17
1245844349 Stephanie Paguada Behavioral Analyst 1619 Candlewood Ridge Ln, Matthews, NC 28105-3211 2020-09-04
1619589322 Ariel Duke Behavioral Analyst 618 Oak Brook Dr, Salisbury, NC 28146-6340 2020-08-24
1376155077 Susan Kyger Behavioral Analyst 117 Prince Charles Ct, Kill Devil Hills, NC 27948-9186 2020-08-24
1447862230 Katharine West-hazlewood Behavioral Analyst 317 S Boylan Ave # 2, Raleigh, NC 27603-1907 2020-08-21
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Competitor

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City ROCKY MOUNT
Zip Code 27804

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Dataset Information

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.

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