MR. DOUGLAS VAUGHN WASHBURN (NPI# 1306077110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306077110 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS VAUGHN WASHBURN |
| Credential | M.ED. |
| Practice Address |
701 Azon Rd Fl 2 Johnson City NY 13790-1724 |
| Mailing Address |
51 Lori Dr Apalachin NY 13732-3904 |
| Practice Telephone | 6075840719 |
| Practice Fax Number | 6077701446 |
| Mailing Telephone | 6077653332 |
| Mailing Fax Number | 6077701446 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
701 AZON RD FL 2 |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| 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 |
|---|---|---|---|---|
| 1144857764 | Common Thread Aba LLC | Behavioral Analyst | 1709 Colonial Ridge Rd, Johnson City, TN 37604-7624 | 2020-03-24 |
| 1306406418 | Sichel Spiess | Behavioral Analyst | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2019-06-20 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1487955969 | Tri-cities Behavioral Therapy, LLC | Behavioral Analyst | 290 Boring Chapel Rd, Johnson City, TN 37615-2941 | 2010-11-15 |
| 1881920122 | Mary A Smith | Behavioral Analyst | 302 Wesley St Ste 1, Johnson City, TN 37601-1741 | 2009-10-21 |
| 1053546994 | Missy Ann Baker | Behavioral Analyst | 1113 E Main St, Johnson City, TN 37601-4823 | 2009-05-21 |
| 1760657100 | Robert Vardaman Peets | Behavioral Analyst | 2 Leanne Cir, Johnson City, TN 37604-7671 | 2008-04-28 |
| 1083226674 | Tracy E Olevano | Behavioral Analyst | 18 Broad St, Johnson City, NY 13790-2198 | 2020-08-17 |
| 1790324465 | Tabitha Ebbert | Behavioral Analyst | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2019-12-30 |
| 1215428321 | Kayli Cowan | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601-2040 | 2018-05-24 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on MR. DOUGLAS VAUGHN WASHBURN.
| 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.