GABRIELLE ALEXANDRA CLARK (NPI# 1407370711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407370711 |
| Entity Type | Individual |
| Full Name | GABRIELLE ALEXANDRA CLARK |
| Practice Address |
33 Turnpike Road Southborough MA 01772 |
| Mailing Address |
33 Turnpike Rd Southborough MA 01772-2108 |
| Practice Telephone | (508) 481-1015 |
| Mailing Telephone | 5084811015 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253383 | Gabrielle Clark | Dental Hygienist | 1156 Cook St., Dannemora, NY 12929 | 2018-11-13 |
| 1255884698 | Gabrielle Clark | Technician, Other | 3557 Greenfield Rd, Dearborn, MI 48120-1217 | 2016-08-02 |
| 1134576754 | Gabrielle Sharon Clark | Podiatrist | 10555 Lake Forest Blvd Ste 3a-b, New Orleans, LA 70127-5206 | 2016-05-24 |
| 1770068108 | Gabrielle Clark | Registered Nurse | 11720 Partridge Rd, Holland, NY 14080-9800 | 2018-10-02 |
| 1134442551 | Gabrielle Ann Clark | Speech-Language Pathologist | 6601 Phoenix Ave, Suite B, Fort Smith, AR 72903-5092 | 2010-03-12 |
| Street Address |
33 TURNPIKE ROAD |
| City | SOUTHBOROUGH |
| State | MA |
| Zip Code | 01772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962705236 | Carol Diane Mitchell-boudreau | Nurse Practitioner | 33 Turnpike Road, Southborough, MA 01772-2108 | 2010-12-08 |
| 1144744129 | Anna Carolan | Developmental Therapist | 33 Turnpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1629508239 | Hannah Marie Krueger | Developmental Therapist | 33 Turnpike Road, Southborough, MA 01772 | 2017-06-15 |
| 1396274718 | Alex Montimor | Developmental Therapist | 33 Turnpike Road, Southborough, MA 01772 | 2017-06-08 |
| 1164960449 | Eric Greenberg | Behavioral Analyst | 33 Turnpike Road, Southborough, MA 01772-2108 | 2017-02-07 |
| 1912368879 | Alyssa Wetmore | Developmental Therapist | 33 Turnpike Road, Southborough, MA 01772 | 2016-03-18 |
| 1750786588 | Kathryn Elizabeth Couger | Developmental Therapist | 33 Turnpike Road, Southborough, MA 01772 | 2014-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
| 1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
| 1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
| 1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
| 1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
| 1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
| 1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
| 1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
| Find all providers in zip 01772 | ||||
| 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 |
|---|---|---|---|---|
| 1477199644 | Christine Valarioti | Behavior Technician | 4 Whistler Ln, Southborough, MA 01772-1132 | 2019-11-22 |
| 1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1952914061 | Mallory Pracella | Behavior Technician | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2020-08-28 |
| 1760092712 | Adrienne Marie Reyerson | Behavior Technician | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2020-08-05 |
| 1902415482 | Grace Elizabeth Lellman | Behavior Technician | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2020-07-30 |
| 1922617687 | Angela Giliberto | Behavior Technician | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2020-07-29 |
| 1205445475 | Katherine Spano | Behavior Technician | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2020-07-23 |
| 1770191108 | Kaley Knapp | Behavior Technician | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2020-07-22 |
| 1942825237 | Hannah Rose Duffy | Behavior Technician | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2020-06-11 |
| 1841824141 | Lauren Ooley | Behavior Technician | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2020-02-25 |
| Find all providers in SOUTHBOROUGH | ||||
| City | SOUTHBOROUGH |
| Zip Code | 01772 |
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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.