KATRINA LYNN MELLOTT (NPI# 1366705881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366705881 |
| Entity Type | Individual |
| Full Name | KATRINA LYNN MELLOTT |
| Credential | BCBA |
| Practice Address |
220 Sullivan Rd Avondale PA 19311-9356 |
| Practice Telephone | 2153701987 |
| Practice Fax Number | 4847208110 |
| Mailing Telephone | 2153701987 |
| Mailing Fax Number | 4847208110 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
220 SULLIVAN RD |
| City | AVONDALE |
| State | PA |
| Zip Code | 19311-9356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588913198 | Sean Martin Whalen | Pharmacist | 160 Candlewyck, Avondale, PA 19311 | 2012-08-29 |
| 1811272313 | Andrew Tamin | Pharmacist | 600 Gap-newport Pike, Avondale, PA 19311 | 2011-10-15 |
| 1710269915 | Karen Tarbotton | Pharmacist | 302 Industrial Dr, Avondale, PA 19311 | 2011-09-13 |
| 1912296575 | Benjamin James Giordano Sr. | Pharmacist | 4 Polydrummond Shopping Center, Newark, DE 19311 | 2011-04-05 |
| 1033304183 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 851 Gap Newport Pike, Avondale, PA 19311 | 2007-09-12 |
| 1740402668 | Colleen Christine Heckman | Specialist | 306 Yates Terrace, Avondale, PA 19311 | 2007-05-02 |
| 1518087618 | Francis Andrew Flomerfelt | Dentist | 9142 Gap Newport Pike, Avondale, PA 19311 | 2007-03-30 |
| 1235215468 | William Nels Cummings | Dentist | 8830 Gap Newport Pike, Avondale, PA 19311 | 2006-10-31 |
| 1164538120 | Edward Weitzman | General Practice | 416 Gap Newport Pk, Avondale, PA 19311 | 2006-08-22 |
| 1528089877 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 600 Gap Newport Pike, Avondale, PA 19311 | 2006-07-22 |
| Find all providers in zip 19311 | ||||
| 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 |
|---|---|---|---|---|
| 1164029617 | Lacuna Autism Services LLC | Behavioral Analyst | 10812 W Monte Vista Rd, Avondale, AZ 85392-5408 | 2020-10-07 |
| 1902345820 | Dylan Huff | Behavioral Analyst | 10320 W Mcdowell Rd, Suite E5013, Avondale, AZ 85392-4863 | 2017-02-13 |
| 1366801086 | Carlos Nuno | Behavioral Analyst | 10320 W Mcdowell Rd Ste K1136, Avondale, AZ 85392-4876 | 2016-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407257 | Megan Blocker | Behavioral Analyst | 76 Glen Moore Cir, Lancaster, PA 17601-4024 | 2020-11-03 |
| 1871194498 | Janet Price | Behavioral Analyst | 109 Plaza Drive, Unit 5, Long Pond, PA 18334 | 2020-11-02 |
| 1700486321 | Jasmin Jetie Tyree | Behavioral Analyst | 109 S 63rd St, Philadelphia, PA 19139-2929 | 2020-11-01 |
| 1588264642 | Mackenzie Morcom | Behavioral Analyst | 807 Moosic Rd, Old Forge, PA 18518-2032 | 2020-10-28 |
| 1508465055 | Sally Martincic | Behavioral Analyst | 115 Jennifer Dr, Sciota, PA 18354-7601 | 2020-10-25 |
| 1659970192 | Songbird Health Pa LLC | Behavioral Analyst | 325 Chestnut St Ste 876, Philadelphia, PA 19106-2614 | 2020-10-24 |
| 1487253290 | Peter Heh | Behavioral Analyst | 1690 Kennedy Rd, Imperial, PA 15126-9130 | 2020-10-22 |
| 1184223422 | Lauren Killion | Behavioral Analyst | 7626 Burholme Ave, Philadelphia, PA 19111-2411 | 2020-10-19 |
| 1407454622 | Sakeena Myrick | Behavioral Analyst | 2405 S Edgewood St, Philadelphia, PA 19142-3201 | 2020-10-09 |
| 1639786965 | Children's Universal Behavior Services | Behavioral Analyst | 107 Shawnee Square Dr Se # E, Shawnee On Delaware, PA 18356-0700 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.