CARLY BURGESS (NPI# 1386281905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386281905 |
| Entity Type | Individual |
| Full Name | CARLY BURGESS |
| Practice Address |
80 Washington St Bldg P Norwell MA 02061-1740 |
| Mailing Address |
24 Trask Rd Plymouth MA 02360-1725 |
| Practice Telephone | 7812903886 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
80 WASHINGTON ST BLDG P |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619386059 | Zoe Shumate | Behavioral Analyst | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2014-08-11 |
| 1720640766 | Jacklyn Rouse | Behavior Technician | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2019-06-30 |
| 1376015628 | Alexandra Grey | Behavioral Analyst | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2018-12-27 |
| 1063902328 | Kacie Mccarthy | Behavior Technician | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2018-05-12 |
| 1013412261 | Ciara Laurel Gregoli | Behavior Technician | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2018-03-29 |
| 1134635550 | Jessica Buckley | Behavior Technician | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2017-12-20 |
| 1083120893 | Caitlin Macdonald | Behavior Technician | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2017-12-18 |
| 1982123832 | Elizabeth Keely O'neil | Behavioral Analyst | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2017-09-12 |
| 1518409606 | Valerie Ann Hall | Behavioral Analyst | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2016-11-07 |
| 1780089441 | Kara Marie Verseckes | Behavioral Analyst | 80 Washington St Bldg P, Norwell, MA 02061-1740 | 2014-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| 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 |
|---|---|---|---|---|
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1831686617 | Tatyana Gallant Cunio | Behavior Technician | 257 Grove St, Norwell, MA 02061-1501 | 2018-04-17 |
| 1235737123 | Deirdre Moran-lanier | Behavior Technician | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2020-10-13 |
| 1013522143 | Allison Bloom Culkin | Behavior Technician | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2020-09-15 |
| 1053925826 | Pume Udomratanakoson | Behavior Technician | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2020-08-31 |
| 1417568379 | Erin Farrell Tierney | Behavior Technician | 80 Washington St, Norwell, MA 02061-1740 | 2020-08-13 |
| 1386255594 | Lauren Applegate | Behavior Technician | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2020-08-11 |
| 1861003212 | Cassandra Amaya | Behavior Technician | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2020-08-10 |
| 1811507825 | Stephanie May | Behavior Technician | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2020-08-04 |
| 1396363628 | Mary Joan Phillips | Behavior Technician | 80 Washington St, Norwell, MA 02061-1740 | 2020-07-13 |
| Find all providers in NORWELL | ||||
Please comment or provide details below to improve the information on CARLY BURGESS.
| 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.