STEPHANIE L OCTAVE (NPI# 1568932192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568932192 |
| Entity Type | Individual |
| Full Name | STEPHANIE L OCTAVE |
| Practice Address |
28 Wolcott St Malden MA 02148 |
| Practice Telephone | 6173717405 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| 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 |
28 WOLCOTT ST |
| City | MALDEN |
| State | MA |
| Zip Code | 02148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
| 1912429382 | Rose Cheng | Pharmacist | 10 Summer Street Apt 304, Malden, MA 02148 | 2017-07-07 |
| Find all providers in zip 02148 | ||||
| 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 |
|---|---|---|---|---|
| 1407472673 | Eben Cottrelle | Behavior Technician | 48 Boundary Rd, Malden, MA 02148-8321 | 2020-06-23 |
| 1275169450 | Flor De Maria Villanueva Hernandez | Behavior Technician | 31 Pierce St # 2, Malden, MA 02148-2931 | 2020-03-19 |
| 1962037283 | Zhen Li | Behavior Technician | 23 Oliver St, Malden, MA 02148-4722 | 2020-03-06 |
| 1396398129 | Christelle Tracy Jourdain | Behavior Technician | 124 Sammett St, Malden, MA 02148-5804 | 2019-07-21 |
| 1639733777 | Kayla Jeannette Graves | Behavior Technician | 1905 North Douglas, Malden, MO 63863-2110 | 2019-04-24 |
| 1144788472 | Kristina Damiano | Behavior Technician | 12 Quarry Ln Apt 3409, Malden, MA 02148-7775 | 2019-03-05 |
| 1912426800 | Lisa Marie Davide | Behavior Technician | 564 Pleasant St, Malden, MA 02148-3550 | 2017-09-12 |
| 1700438595 | Shihan Wang | Behavior Technician | 23 Fairlawn St, Malden, MA 02148-1404 | 2019-07-11 |
| 1558925412 | Brandon Joseph Oldham | Behavior Technician | 1905 North Douglas, Malden, MO 63863-2110 | 2019-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457252 | Jason Chang | Behavior Technician | 3 Boothby Cir, Randolph, MA 02368-5312 | 2020-11-06 |
| 1720689870 | Shelby Normand | Behavior Technician | 2 Longfellow Ln Apt 201, Tyngsboro, MA 01879-2782 | 2020-11-05 |
| 1750982716 | Natasha Charest-ciampa | Behavior Technician | 500 W Cummings Park Ste 1800, Woburn, MA 01801-6506 | 2020-11-05 |
| 1780285064 | Farrah Jean | Behavior Technician | 25 Kovey Rd, Hyde Park, MA 02136-1210 | 2020-11-04 |
| 1619577400 | Noreen-yvaica Joseph | Behavior Technician | 57 Vida St, Methuen, MA 01844-6126 | 2020-10-29 |
| 1194325134 | Laura Copeland-clarke | Behavior Technician | 19 Endicott St, Quincy, MA 02169-7821 | 2020-10-29 |
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1225638398 | Nicholas Makogonov | Behavior Technician | 4 Kinsman St, Beverly, MA 01915-1819 | 2020-10-28 |
| 1720688732 | Zizo Valliere | Behavior Technician | 17 Douglas St, Quincy, MA 02169-6106 | 2020-10-28 |
| 1922608918 | Paulina Elizabeth Chumakov | Behavior Technician | 10 Goodnow Ave, Ashland, MA 01721-1662 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.