BRENNA J MELTON (NPI# 1497383137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497383137 |
| Entity Type | Individual |
| Full Name | BRENNA J MELTON |
| Practice Address |
6836 Isaac's Orchard Rd Springdale AR 72762 |
| Practice Telephone | 4799274100 |
| Practice Fax Number | 4799274101 |
| Mailing Telephone | 4799274100 |
| Mailing Fax Number | 4799274101 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 237763706 | 05 | |
| AR | 237783795 | 05 |
| Street Address |
6836 ISAAC'S ORCHARD RD |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235145707 | Wendy Florick | Speech-Language Pathologist | 6836 Isaac's Orchard Rd, Springdale, AR 72762-7096 | 2006-08-01 |
| 1982201372 | Noah Seth Moore | Behavior Technician | 6836 Isaac's Orchard Rd, Springdale, AR 72762 | 2020-10-08 |
| 1689271082 | Carlos Armando Rodriguez Dorantes | Behavior Technician | 6836 Isaac's Orchard Rd, Springdale, AR 72762 | 2020-10-08 |
| 1720601412 | Arkansas Support Network, Inc | Case Management | 6836 Isaac's Orchard Rd, Springdale, AR 72762-6096 | 2020-05-28 |
| 1801423975 | Katia Sanchez | Behavior Technician | 6836 Isaac's Orchard Rd, Springdale, AR 72762 | 2020-03-26 |
| 1811534241 | Patricia Thomas | Behavioral Analyst | 6836 Isaac's Orchard Rd, Springdale, AR 72762-6096 | 2019-12-04 |
| 1245874528 | Elizabeth R Lorah | Behavioral Analyst | 6836 Isaac's Orchard Rd, Springdale, AR 72762-7096 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| 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 |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1982201372 | Noah Seth Moore | Behavior Technician | 6836 Isaac's Orchard Rd, Springdale, AR 72762 | 2020-10-08 |
| 1689271082 | Carlos Armando Rodriguez Dorantes | Behavior Technician | 6836 Isaac's Orchard Rd, Springdale, AR 72762 | 2020-10-08 |
| 1144846494 | Blanca E Estevez | Behavior Technician | 6836 Issacs Orchard Rd, Springdale, AR 72762 | 2020-06-23 |
| 1801423975 | Katia Sanchez | Behavior Technician | 6836 Isaac's Orchard Rd, Springdale, AR 72762 | 2020-03-26 |
| 1093374159 | Brittany N Nemeroff House | Behavior Technician | 2400 S 48th St, Springdale, AR 72762-6683 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1326654872 | Takashi M Matlock | Behavior Technician | 339 Joy Dr, Hot Springs National Park, AR 71913-8913 | 2020-09-21 |
| 1356956551 | Tim Davis | Behavior Technician | 4328 Central Ave Ste B, Hot Springs National Park, AR 71913-7204 | 2020-09-14 |
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1770105355 | Lauren James | Behavior Technician | 4 Ruth Dr, Conway, AR 72032-9402 | 2020-05-17 |
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1700405909 | Teresa Renee Berry | Behavior Technician | 1525 Merrill Dr Ste 100, Little Rock, AR 72211-1665 | 2020-04-09 |
| 1952938862 | Mckinsey Stephens | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-03-23 |
| 1740813617 | Cinthya Marely Luna | Behavior Technician | 1701 Aldersgate Rd Ste 1, Little Rock, AR 72205-6675 | 2020-02-19 |
| 1215560495 | Mallory Matthews | Behavior Technician | 11215 Hermitage Rd Ste 201, Little Rock, AR 72211-3864 | 2020-02-17 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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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.