MRS. JENNIE LEE MCCRILLIS (NPI# 1316354517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316354517 |
| Entity Type | Individual |
| Full Name | MRS. JENNIE LEE MCCRILLIS |
| Practice Address |
2675 Court Dr Gastonia NC 28054-1478 |
| Practice Telephone | 7048244999 |
| Practice Fax Number | 7048243999 |
| Mailing Telephone | 7048244999 |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-29416 | NC | Behavioral Health & Social Service Providers |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 345 Greenwood St Ste A, Suite B, Worcester, MA 016071767 | 5083630200 | |
| 197 Piedmont Blvd Ste 205, Rock Hill, SC 297321846 | 8036398066 | 8033667755 |
| Street Address |
2675 COURT DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740267202 | Candace Elena Cook | Speech-Language Pathologist | 2675 Court Dr, Gastonia, NC 28054-1478 | 2005-12-27 |
| 1427659184 | William Abbott | Behavior Technician | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-11-07 |
| 1356942965 | Cheyenne Nicole Pressley | Behavior Technician | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-11-02 |
| 1750981940 | Sarah Catherine Nuzzi | Social Worker | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-10-28 |
| 1629677901 | Haley Marie Linker | Behavior Technician | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-10-19 |
| 1841898491 | Marissa Phillips | Behavior Technician | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-10-15 |
| 1154929933 | Brittany James | Specialist/Technologist | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-10-13 |
| 1013515246 | Laquana Bradford | Specialist/Technologist | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-10-09 |
| 1659988830 | Mikayla Cheyenne Altman | Behavior Technician | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-09-30 |
| 1992310924 | Adriana Maria Ugalde | Specialist/Technologist | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| 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 |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1407932775 | Comprehab Inc | Behavioral Analyst | 2675 Court Drive, Gastonia, NC 28054 | 2006-10-31 |
| 1750910634 | Dale Smith | Behavioral Analyst | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-04-03 |
| 1285996371 | Shawanna Yvette Wray | Behavioral Analyst | 166 W Franklin Blvd, Gastonia, NC 28052-4107 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033021 | Modern Hope of North Carolina | Behavioral Analyst | 3570 Vest Mill Road, H, Winston Salem, NC 27103-2963 | 2020-11-06 |
| 1396346755 | Caroline Goerke | Behavioral Analyst | 2300 Gateway Centre Blvd Ste 101, Morrisville, NC 27560-9669 | 2020-11-03 |
| 1780284950 | Autry Behavioral & Resource Center | Behavioral Analyst | 330 Wedgefield Dr, Raeford, NC 28376-5010 | 2020-10-27 |
| 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 |
| 1407468879 | Triangle Aba LLC | Behavioral Analyst | 10712 Marthas Way, Raleigh, NC 27615-1310 | 2020-08-18 |
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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.