PATREA BOUIE (NPI# 1356902662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356902662 |
| Entity Type | Individual |
| Full Name | PATREA BOUIE |
| Practice Address |
999 Redan Trce Stone Mountain GA 30088-2562 |
| Practice Telephone | 4048403012 |
| Mailing Telephone | 4048403012 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
999 REDAN TRCE |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30088-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
| 1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
| 1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
| 1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
| 1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
| 1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
| 1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
| Find all providers in zip 30088 | ||||
| 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 |
|---|---|---|---|---|
| 1760083802 | Alyssa Toney | Behavior Technician | 4606 Treehills Pkwy, Stone Mountain, GA 30088-3088 | 2020-11-05 |
| 1437773975 | Miranda Sturdivant | Behavior Technician | 7 Hidden Chase Apt E, Stone Mountain, GA 30088-4264 | 2020-06-01 |
| 1356987234 | Stephanie Claire Saulsbury | Behavior Technician | 3855 Wood Path Dr, Stone Mountain, GA 30083-4667 | 2019-11-26 |
| 1639737893 | Goldie Lewis | Behavior Technician | 5157 Scarbrough Trl W, Stone Mountain, GA 30088-4326 | 2019-06-03 |
| 1417575507 | Stacy D Witherspoon | Behavior Technician | 2300 W Park Pl, Stone Mountain, GA 30087-6713 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477694 | Elizabeth Cobb | Behavior Technician | 2147 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2020-11-05 |
| 1699376855 | Megan Elizabeth Lee Johnsoln | Behavior Technician | 700 Preston Glen Cir, Apt. 303, Canton, GA 30114-3011 | 2020-11-04 |
| 1730789504 | Fabian Alejandro Martinez | Behavior Technician | 470 16th St Nw Apt 1028, Atlanta, GA 30363-3003 | 2020-10-29 |
| 1336749258 | Rosalyn E Williams | Behavior Technician | 1050 Rock Quarry Rd Apt 100, Stockbridge, GA 30281-6404 | 2020-10-29 |
| 1306446448 | Kristen West | Behavior Technician | 3552 Orchard Cir, Decatur, GA 30032-2510 | 2020-10-28 |
| 1376143461 | Marika Deliyianni | Behavior Technician | 9645 Pine Thicket Way, Roswell, GA 30075-4331 | 2020-10-28 |
| 1932709037 | Missy Nicole Day | Behavior Technician | 310 Northlake Dr Apt 32, Warner Robins, GA 31093-1675 | 2020-10-28 |
| 1497355416 | Devonta Markeice Lancaster | Behavior Technician | 2200 Satellite Blvd Apt 701, Duluth, GA 30097-4018 | 2020-10-28 |
| 1316547607 | Nyasia Phillips | Behavior Technician | 126 Smart Ln, Sylvania, GA 30467-8269 | 2020-10-27 |
| 1487254637 | Leatrice Byers | Behavior Technician | 3355 Mcdaniel Rd Apt 4308, Duluth, GA 30096-8629 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30088 |
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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.