MARY FORD-WATERMAN (NPI# 1396243465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396243465 |
| Entity Type | Individual |
| Full Name | MARY FORD-WATERMAN |
| Practice Address |
420 Gaffney Dr Watertown NY 13601-1823 |
| Mailing Address |
20132 Ford St. La Fargeville NY 13656 |
| Practice Telephone | 3157717619 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-03-17 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20132 Ford St., La Fargeville, NY 13656 | 3157717619 |
| Street Address |
420 GAFFNEY DR |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083764864 | Jennifer Brink | Physical Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2007-01-12 |
| 1528608668 | Emily Howell | Occupational Therapy Assistant | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2020-01-07 |
| 1831751221 | Ashley Margaret Dobmeier | Occupational Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2019-07-05 |
| 1154987337 | Michelle Anne Wilder | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2019-05-14 |
| 1205332723 | Julia Wise Groleau | Occupational Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-04-03 |
| 1275040750 | Jennifer Rose Barse | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-01-05 |
| 1073032652 | Erin Marie Ross | Speech-Language Pathologist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2017-09-14 |
| 1184174385 | Merrica Baldwin | Specialist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-10-12 |
| 1568919561 | Jennifer Wagstaff | Specialist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-09-07 |
| 1518410182 | Krista Chamberlain | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| 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 |
|---|---|---|---|---|
| 1144830316 | Angela Shrestha | Behavior Technician | 550 Belmont St Apt 21, Watertown, MA 02472-4912 | 2020-08-03 |
| 1750912002 | Margaret Gedek | Behavior Technician | 27 Siemon Company Dr Ste 352w, Watertown, CT 06795-2668 | 2020-01-27 |
| 1679037857 | Stephanie Bess | Behavior Technician | 121 Waters Ave, Watertown, TN 37184-1227 | 2019-01-22 |
| 1174090591 | Tung Yan Hui | Behavior Technician | 108 Belmont St # 2, Watertown, MA 02472-2910 | 2018-10-24 |
| 1326529561 | Olivia Grenier | Behavior Technician | 22530 Fisher Rd, Watertown, NY 13601-1050 | 2018-08-26 |
| 1972090603 | Fatema Mostafa | Behavior Technician | 60d Robert Ford Rd, Watertown, MA 02472-3011 | 2018-04-18 |
| 1477177202 | Ailie Lauren Orzak | Behavior Technician | 51 Water St Ste 200, Watertown, MA 02472-4611 | 2020-06-08 |
| 1477022754 | Lindsey Lee Bryant | Behavior Technician | 51 Water St Ste 200, Watertown, MA 02472-4611 | 2018-11-16 |
| 1164921193 | Misty Dawn Laduc | Behavior Technician | 22107 Fabco Rd, Watertown, NY 13601-1737 | 2018-02-05 |
| 1952817744 | Mercedes Mackin | Behavior Technician | 254 W Main St, Watertown, NY 13601-1912 | 2017-12-16 |
| Find all providers in WATERTOWN | ||||
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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.