CHRISTIAN WHITEBREAD


Address: 413 Fairmount Ave Ste 1, Philadelphia, PA 19123-2872
Phone: 2679087772

CHRISTIAN WHITEBREAD (NPI# 1578193488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578193488
Entity Type Individual
Full Name CHRISTIAN WHITEBREAD
Credential BCBA
Practice Address 413 Fairmount Ave Ste 1
Philadelphia
PA 19123-2872
Mailing Address 4055 Ridge Ave Apt 7306
Philadelphia
PA 19129-1594
Practice Telephone 2679087772
Mailing Telephone 5709569470
Enumeration Date 2020-01-20
Last Update Date 2020-01-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-18-30608 PA Behavioral Health & Social Service Providers

Office Location

Street Address 413 FAIRMOUNT AVE STE 1
City PHILADELPHIA
State PA
Zip Code 19123-2872

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902437676 Maria Catherine Bard Behavioral Analyst 413 Fairmount Ave Ste 1, Philadelphia, PA 19123-2872 2020-01-30

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
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1760006795 Bianca S Montalmont Behavioral Analyst 128 Widener St, Philadelphia, PA 19120-1935 2020-06-05
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Competitor

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City PHILADELPHIA
Zip Code 19123

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Dataset Information

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.

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