KATHLEEN MAHAN (NPI# 1467989590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467989590 |
Entity Type | Individual |
Full Name | KATHLEEN MAHAN |
Practice Address |
5500 Tramore Ct Fairfax VA 22032-3126 |
Practice Telephone | (703) 409-9693 |
Mailing Telephone | 7034099693 |
Enumeration Date | 2017-05-19 |
Last Update Date | 2017-05-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | 1500605 | VA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639100464 | Kathleen A Mahan | Family Medicine | 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 | 2006-07-06 |
1669474532 | Kathleen Ellen Mahan | Nurse Practitioner | 7381 College Pkwy, Suite 110, Fort Myers, FL 33907-5548 | 2005-08-11 |
1184068298 | Kathleen Mahan | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2013-04-18 |
1053488809 | Kathleen Mahan | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2006-11-29 |
Street Address |
5500 TRAMORE CT |
City | FAIRFAX |
State | VA |
Zip Code | 22032-3126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
Find all providers in zip 22032 |
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 |
---|---|---|---|---|
1891330437 | Sabrina Marie Slack | Behavior Technician | 10430 Democracy Lane #102b, Fairfax, VA 22030-2203 | 2019-11-07 |
1932765799 | Alexandra L Wolfe | Behavior Technician | 4139 Halsted St, Fairfax, VA 22033-5527 | 2019-05-16 |
1265913610 | Layetta Monique Kerrick | Behavior Technician | 10340 Democracy Ln Ste 103, Fairfax, VA 22030-2518 | 2018-08-23 |
1306337217 | Aisha Amadou Konare | Behavior Technician | 10340 Democracy Ln Ste 102b&103, Fairfax, VA 22030-2518 | 2018-05-25 |
1902300031 | Kimberly Copeland | Behavior Technician | 10340 Democracy Ln # 102b103, Fairfax, VA 22030-2518 | 2018-03-22 |
1285137521 | Leyla Abilova | Behavior Technician | 10340 Democracy Ln # 102b-103, Fairfax, VA 22030-2518 | 2018-03-13 |
1003322066 | Jennifer Calderon | Behavior Technician | 10530 Warwick Ave Ste C, Fairfax, VA 22030-3132 | 2017-12-28 |
1720594955 | Jacqueline Clark | Behavior Technician | 10530 Warwick Ave Ste C2, Fairfax, VA 22030-3132 | 2017-12-26 |
1144739699 | Danielle Christina Sharp | Behavior Technician | 9870a Main Street, Fairfax, VA 22031 | 2017-09-28 |
1164944211 | Laura Kapner | Behavior Technician | 11240 Waples Mill Rd Ste 300, Fairfax, VA 22030-6078 | 2017-07-11 |
Find all providers in FAIRFAX |
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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.