MATILDA RICHARDSON (NPI# 1396356671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396356671 |
| Entity Type | Individual |
| Full Name | MATILDA RICHARDSON |
| Practice Address |
1260 Upper Hembree Rd Ste D Roswell GA 30076-4611 |
| Mailing Address |
300 International Parkway Suite 200 Lake Mary FL 32746-3625 |
| Practice Telephone | 4703870593 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| 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 |
| Street Address |
1260 UPPER HEMBREE RD STE D |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972867646 | Lisette Leyva | Behavioral Analyst | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2012-06-27 |
| 1043823651 | Je'sel Carson | Behavior Technician | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2020-08-25 |
| 1619595683 | Hilina Desta | Behavior Technician | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2020-07-07 |
| 1063038701 | Angela Mells | Behavior Technician | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2020-06-18 |
| 1366076366 | Matthew Murray | Behavior Technician | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2020-02-27 |
| 1821637174 | Ashley Sims | Behavior Technician | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2020-01-03 |
| 1063051613 | Elizabeth Storey Roberts | Behavioral Analyst | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2019-12-30 |
| 1376182311 | Abbey Grantham | Behavior Technician | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2019-12-21 |
| 1821655739 | Kevin Powell | Behavior Technician | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2019-05-27 |
| 1063078707 | Yayra Claudia Klougan | Behavior Technician | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2019-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| 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 |
|---|---|---|---|---|
| 1376143461 | Marika Deliyianni | Behavior Technician | 9645 Pine Thicket Way, Roswell, GA 30075-4331 | 2020-10-28 |
| 1114526373 | Rickie Garza | Behavior Technician | 23 Ruohonen Pl, Roswell, NM 88203-8419 | 2020-10-20 |
| 1699372086 | Whitney Walker | Behavior Technician | 700 N Missouri Ave Apt 4, Roswell, NM 88201-4859 | 2020-10-08 |
| 1891392486 | Kaitlyn Roe | Behavior Technician | 2609 Bay Meadows Dr, Roswell, NM 88201-5215 | 2020-10-06 |
| 1023615952 | Melissa Hernandez | Behavior Technician | 1009 Ivy Dr, Roswell, NM 88203-2546 | 2020-10-05 |
| 1053930917 | Haley Michelle Stotts | Behavior Technician | 1600 N Sycamore Ave Apt 208, Roswell, NM 88201-8894 | 2020-04-10 |
| 1609405554 | Johnathan Ortiz | Behavior Technician | 1016 Corralitos Rd, Roswell, NM 88201-9163 | 2020-04-03 |
| 1184252835 | Carrie Thompson | Behavior Technician | 3005 Delicado Dr, Roswell, NM 88201-6627 | 2020-03-30 |
| 1912535790 | Chelsie Jolene Jeakins | Behavior Technician | 1510 S Kansas Ave, Roswell, NM 88203-3730 | 2020-03-29 |
| 1174159446 | Heather Martinez | Behavior Technician | 508 Willow Dr, Roswell, NM 88203-1208 | 2020-03-19 |
| Find all providers in ROSWELL | ||||
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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.