CARLOS MANUEL IRIZAR (NPI# 1386241578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386241578 |
| Entity Type | Individual |
| Full Name | CARLOS MANUEL IRIZAR |
| Practice Address |
3355 Mcdaniel Rd Apt 17305 Duluth GA 30096-8681 |
| Practice Telephone | 7862812591 |
| Mailing Telephone | 7862812591 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
| Street Address |
3355 MCDANIEL RD APT 17305 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-8681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| 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 |
|---|---|---|---|---|
| 1497355416 | Devonta Markeice Lancaster | Behavior Technician | 2200 Satellite Blvd Apt 701, Duluth, GA 30097-4018 | 2020-10-28 |
| 1487254637 | Leatrice Byers | Behavior Technician | 3355 Mcdaniel Rd Apt 4308, Duluth, GA 30096-8629 | 2020-10-27 |
| 1518573476 | Avery Rose Warner | Behavior Technician | 3475 Romulus Dr, Duluth, GA 30097-3443 | 2020-09-16 |
| 1336761816 | Jacqueline Smith | Behavior Technician | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-07 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1568009686 | Isabella Kathryn Johnson | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2019-12-09 |
| 1124581947 | Linnea Mary Moore | Behavior Technician | 1725 Kenwood Ave Apt 110, Duluth, MN 55811-2267 | 2019-04-09 |
| 1508355116 | Sheri Lynn Keppers | Behavior Technician | 828 E 7th St, Duluth, MN 55805-1444 | 2018-05-09 |
| 1689162208 | Omolara Jaji | Behavior Technician | 3675 Crestwood Pkwy Nw Ste 472, Duluth, GA 30096-5136 | 2018-04-30 |
| Find all providers in DULUTH | ||||
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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.