CHANDRA RAE DEWBERRY (NPI# 1265958854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265958854 |
| Entity Type | Individual |
| Full Name | CHANDRA RAE DEWBERRY |
| Practice Address |
74 Burketts Creek Dr Hattiesburg MS 39401-5080 |
| Practice Telephone | (773) 449-0769 |
| Mailing Telephone | 7734490769 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
MS | Behavioral Health & Social Service Providers | |
| Y | 103K00000X | Behavioral Analyst | MS | Behavioral Health & Social Service Providers |
| Street Address |
74 BURKETTS CREEK DR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-5080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| 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 |
|---|---|---|---|---|
| 1073098877 | Lana Kathryn Warren | Behavioral Analyst | 2180 Oak Grove Rd, Hattiesburg, MS 39402 | 2018-09-27 |
| 1326523168 | Mark G Yeager | Behavioral Analyst | 2180 Oak Grove Rd., Hattiesburg, MS 39402 | 2018-09-27 |
| 1538679238 | Brighter Horizons Therapy, LLC | Behavioral Analyst | 912 W Pine St, Hattiesburg, MS 39401-4262 | 2017-10-07 |
| 1083124291 | Melanie Lester Dale | Behavioral Analyst | 77 Saint Annes Dr, Hattiesburg, MS 39401-8252 | 2017-10-03 |
| 1700266947 | Kayla Elizabeth Bates-brantley | Behavioral Analyst | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402 | 2015-06-03 |
| 1700272432 | Southern Miss Autism Research Team (smart) Clinic | Behavioral Analyst | 118 College Dr Box 5025, University of Southern Mississippi, Hattiesburg, MS 39406-0001 | 2015-04-09 |
| 1053686154 | Traci Taber | Behavioral Analyst | 802 Myrtle St, Hattiesburg, MS 39401-4851 | 2012-03-21 |
| 1952673915 | Will's Way, LLC | Behavioral Analyst | 22 Millbranch Rd Ste 1200, Hattiesburg, MS 39402 | 2012-02-06 |
| 1487271599 | Marshall Parker Lundy | Behavioral Analyst | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-07-06 |
| 1114443579 | Cassady Coco | Behavioral Analyst | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2017-08-17 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on CHANDRA RAE DEWBERRY.
| 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.