GRAHAM ANDERSON (NPI# 1285249821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285249821 |
| Entity Type | Individual |
| Full Name | GRAHAM ANDERSON |
| Practice Address |
110 Pipemakers Cir Ste 116 Pooler GA 31322-4168 |
| Practice Telephone | 9125071553 |
| Mailing Telephone | 9125071553 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| Street Address |
110 PIPEMAKERS CIR STE 116 |
| City | POOLER |
| State | GA |
| Zip Code | 31322-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447488945 | Coastal Autism Therapy Center, Inc. | Community/Behavioral Health | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2009-06-23 |
| 1902407216 | J'kayla Wiggins | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-11-03 |
| 1043825615 | Morgan Mcghee | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-09-10 |
| 1679188213 | Laquasha Andrews | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-09-10 |
| 1801407986 | Kristen Hardison | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-08-12 |
| 1740890912 | James Ahern | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-08-03 |
| 1679195390 | Dafina Felix | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-05-15 |
| 1487288528 | Marisa Cannon | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-02-27 |
| 1376105379 | Janece Gabrielle Rambo | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2019-07-01 |
| 1528520384 | Adidasheonna Sloan | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| 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 |
|---|---|---|---|---|
| 1245746502 | Alison Calton | Behavior Technician | 119 Canal St Ste 102, Pooler, GA 31322-4094 | 2017-12-22 |
| 1902407216 | J'kayla Wiggins | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-11-03 |
| 1760080089 | Sylvia Marie Brown | Behavior Technician | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-10-09 |
| 1043825615 | Morgan Mcghee | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-09-10 |
| 1679188213 | Laquasha Andrews | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-09-10 |
| 1801407986 | Kristen Hardison | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-08-12 |
| 1740890912 | James Ahern | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-08-03 |
| 1255957783 | Erin Bonnette | Behavior Technician | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-06-20 |
| 1679195390 | Dafina Felix | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-05-15 |
| 1487288528 | Marisa Cannon | Behavior Technician | 110 Pipemakers Cir Ste 116, Pooler, GA 31322-4168 | 2020-02-27 |
| Find all providers in POOLER | ||||
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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.