AMY K ROSENBLUM (NPI# 1548811268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548811268 |
| Entity Type | Individual |
| Full Name | AMY K ROSENBLUM |
| Practice Address |
41 Pacella Park Dr Randolph MA 02368-1755 |
| Practice Telephone | 7814400400 |
| Mailing Telephone | 7814400400 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-28629 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026265E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619286424 | Amy Wyatt Rosenblum | Dietitian, Registered | 15237 Creativity Dr, Culpeper, VA 22701 | 2010-09-28 |
| Street Address |
41 PACELLA PARK DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356318125 | The May Institute, Inc | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2006-03-01 |
| 1952900227 | Manyun Xie | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-10-19 |
| 1558978718 | John H Williams | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-09-30 |
| 1487269593 | Phillip A Burke | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-09-15 |
| 1326650797 | Nakayla C Raymond | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1508478967 | Cynthia L Riley | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1649881954 | Johanna Dowdy | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-11 |
| 1124643432 | Kayla Ruth Gordon | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-11 |
| 1013531540 | Sacha Shaw | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-01 |
| 1154959542 | Jon Roland | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523816 | Amaris Ramos | Behavioral Analyst | 6 Jane St, Randolph, MA 02368-1925 | 2019-11-23 |
| 1316592165 | Sharon Nicole Moore | Behavioral Analyst | 51 Bridle Path Cir Apt 510, Randolph, MA 02368-4434 | 2019-08-08 |
| 1871053983 | Keri Ann Windsor | Behavioral Analyst | 821 North St, Randolph, MA 02368-3221 | 2019-03-23 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1700241742 | Dana Seidler | Behavioral Analyst | 35 Ayers Brook Rd, Randolph, VT 05060-1040 | 2015-12-17 |
| 1902290158 | Heidi Gebhard | Behavioral Analyst | 11 Fairlawn Ave, Randolph, NJ 07869-1541 | 2015-03-25 |
| 1780084046 | Heather Dawn Crockett | Behavioral Analyst | 111 Grove St Rear, Randolph, MA 02368-2965 | 2014-08-23 |
| 1477856839 | Hilary Lynn Collins | Behavioral Analyst | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2010-12-07 |
| 1124168885 | Nicole Partridge | Behavioral Analyst | 15 Pacella Park Dr Ste 210, Randolph, MA 02368-1700 | 2007-02-08 |
| 1740880996 | Robert A Grigore | Behavioral Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-27 |
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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.