EMILY JANE TISDALE (NPI# 1366957011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366957011 |
| Entity Type | Individual |
| Full Name | EMILY JANE TISDALE |
| Other Name | EMILY JANE MEYER |
| Credential | BCBA |
| Practice Address |
1203 Us Highway 98 Ste 2a9 Daphne AL 36526 |
| Mailing Address |
1203 Us Highway 98 Ste 2a9 Daphne AL 36526-3901 |
| Practice Telephone | 3149201828 |
| Practice Fax Number | 2512430984 |
| Mailing Telephone | 3149201828 |
| Mailing Fax Number | 2512430984 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-33094 | AL | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 0-14-6203 | AL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5465 Able Ct, Mobile, AL 366933100 | 2516494420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275987497 | Emily Tisdale | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2016-04-14 |
| Street Address |
1203 US HIGHWAY 98 STE 2A9 |
| City | DAPHNE |
| State | AL |
| Zip Code | 36526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033779608 | With Great Love, LLC | Community/Behavioral Health | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526-3901 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1790345403 | Gregory Conner Reese | Student in an Organized Health Care Education/Training Program | 27654 Red Eagle Drive, Daphne, AL 36526 | 2019-06-14 |
| 1649787912 | Jubilee Family Dentistry, LLC | Dentist | 6475 Jordan Avenue, Daphne, AL 36526 | 2018-01-08 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1437680600 | Blair Hoffman Pringle | Nurse Practitioner | 26179 Capitol Drive Suite A, Daphne, AL 36526 | 2017-03-21 |
| 1275915324 | Simara Sokom | Pharmacist | 29487 State Highway 181, Daphne, AL 36526 | 2015-06-25 |
| 1366859126 | Seth Matthew Gross | Pharmacist | 101b Villa Drive, Suite B-260, Daphne, AL 36526 | 2014-07-14 |
| 1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
| 1194066613 | Ryan Nobles | Chiropractor | 6483 Van Buren Street, Suite 101, Daphne, AL 36526 | 2013-03-07 |
| 1811248941 | Leah Patrick | Counselor | 7400 Roper Lane, Daphne, AL 36526 | 2012-09-28 |
| Find all providers in zip 36526 | ||||
| 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 |
|---|---|---|---|---|
| 1740826791 | Exceptional Strides Aba Therapy, LLC | Behavioral Analyst | 1203 Us Highway 98 Ste 2b9, Daphne, AL 36526-4574 | 2019-11-25 |
| 1780232124 | Danyle V Wilkinson | Behavioral Analyst | 10222 Dunleith Loop, Daphne, AL 36526-4566 | 2019-08-28 |
| 1720559313 | Misty Brown Tate | Behavioral Analyst | 25793 Mercer Ct, Daphne, AL 36526-9264 | 2018-12-08 |
| 1760855886 | Renee Hinton Autrey | Behavioral Analyst | 8909 Rand Ave, Daphne, AL 36526-9126 | 2015-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1962020172 | Nicole N Watkins | Behavioral Analyst | 5700 Grelot Rd Apt 1113, Mobile, AL 36609-3633 | 2020-07-14 |
| 1346863024 | Simplified Behavioral Health, LLC | Behavioral Analyst | 463 Sunset Lake Cir, Chelsea, AL 35043-3208 | 2020-05-28 |
| 1831712298 | Amanda Crystal Childers | Behavioral Analyst | 810 Shoney Dr Sw Ste 115, Huntsville, AL 35801-5450 | 2020-05-20 |
| 1285265264 | Lindsay Paige Murphy | Behavioral Analyst | 305 Westchester Ave Sw, Huntsville, AL 35801-3307 | 2020-01-29 |
| 1912543547 | Christy Mcspadden | Behavioral Analyst | 1059 Westbury Dr, Mobile, AL 36609-3337 | 2019-11-19 |
| 1215588538 | Core Aba Services, Inc. | Behavioral Analyst | 4715 Airport Blvd Ste 300, Mobile, AL 36608-3181 | 2019-09-27 |
| 1285282723 | Beth Long, Phd, Lpc | Behavioral Analyst | 8650 Minnie Brown Rd Ste 233, Montgomery, AL 36117-7433 | 2019-08-28 |
| 1811555444 | James Grant Patterson | Behavioral Analyst | 504 Crest Club Dr, Valley, AL 36854-8635 | 2019-05-29 |
| 1457915340 | Kelli Thornton | Behavioral Analyst | 130 Montreat Ct, Dothan, AL 36303-6320 | 2019-04-25 |
| 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.