ANGELO G FONTANA (NPI# 1295204980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295204980 |
| Entity Type | Individual |
| Full Name | ANGELO G FONTANA |
| Practice Address |
41 Pacella Park Dr Randolph MA 02368-1755 |
| Practice Telephone | 7814400400 |
| Mailing Telephone | 7814400400 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-58289 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026265E | 05 |
| Street Address |
41 PACELLA PARK DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356318125 | The May Institute, Inc | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2006-03-01 |
| 1952900227 | Manyun Xie | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-10-19 |
| 1558978718 | John H Williams | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-09-30 |
| 1487269593 | Phillip A Burke | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-09-15 |
| 1326650797 | Nakayla C Raymond | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1508478967 | Cynthia L Riley | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1649881954 | Johanna Dowdy | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-11 |
| 1124643432 | Kayla Ruth Gordon | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-11 |
| 1013531540 | Sacha Shaw | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-01 |
| 1154959542 | Jon Roland | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| 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 |
|---|---|---|---|---|
| 1407457252 | Jason Chang | Behavior Technician | 3 Boothby Cir, Randolph, MA 02368-5312 | 2020-11-06 |
| 1679172282 | Kelsey Ann Lovenberg | Behavior Technician | 7 Corwin St, Randolph, NJ 07869-3431 | 2020-10-23 |
| 1184238073 | Anthony Rodrigues | Behavior Technician | 75 N Main St # 628, Randolph, MA 02368-4605 | 2020-09-08 |
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1932710464 | Brooke Ashley | Behavior Technician | 75 N Main St Ste 628, Randolph, MA 02368-4605 | 2020-08-10 |
| 1619587961 | Kimberly Jean-louis | Behavior Technician | 19110 Chestnut W, Randolph, MA 02368-2545 | 2020-08-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1508322058 | Claudette Chavannes | Behavior Technician | 10 Reed St Apt 16, Randolph, MA 02368-2539 | 2019-02-20 |
| 1902384167 | Lindsay Ellen Pearlstein | Behavior Technician | 60 Country Club Dr, Randolph, MA 02368-4725 | 2018-07-31 |
| 1902319924 | Trang Thanh Nguyen | Behavior Technician | 10 Richard Rd, Randolph, MA 02368-4804 | 2017-11-13 |
| Find all providers in RANDOLPH | ||||
Please comment or provide details below to improve the information on ANGELO G FONTANA.
| 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.