KAYLI MARIE HAMBLIN (NPI# 1598305542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598305542 |
| Entity Type | Individual |
| Full Name | KAYLI MARIE HAMBLIN |
| Credential | M.ED |
| Practice Address |
103 Commercial St Brockton MA 02302-3133 |
| Mailing Address |
15 Anne Dr Taunton MA 02780-2255 |
| Practice Telephone | 9782015327 |
| Mailing Telephone | 9782015327 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| 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 |
103 COMMERCIAL ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922332816 | Kathryn Doan | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2009-09-24 |
| 1841807252 | Allessandra Patrice Meandro | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2020-09-29 |
| 1669082657 | Shane Fitzgerald | Speech-Language Pathologist | 103 Commercial St, Brockton, MA 02302-3133 | 2020-08-04 |
| 1699397828 | Ashley Lauren Kelly | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2020-05-11 |
| 1568097657 | Sabrina Georges | Behavioral Analyst | 103 Commercial St, Brockton, MA 02302-3133 | 2020-03-09 |
| 1427680347 | Gabriella Daniel | Social Worker | 103 Commercial St, Brockton, MA 02302-3133 | 2020-02-08 |
| 1245892769 | Kristen Sampson | Psychologist | 103 Commercial St, Brockton, MA 02302-3133 | 2019-07-04 |
| 1275193781 | Brittany Wright | Social Worker | 103 Commercial St, Brockton, MA 02302-3133 | 2019-06-17 |
| 1538725759 | Taylor Nicole Bridges | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2019-05-13 |
| 1942767900 | Jessica Lee Darcy | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2019-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
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| 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 |
|---|---|---|---|---|
| 1093312290 | Danny Pires Darosa | Behavior Technician | 36 Beach St, Brockton, MA 02302-4003 | 2020-10-01 |
| 1376150938 | Ashley Andrade | Behavior Technician | 102 Oak Ln Apt 9, Brockton, MA 02301-0909 | 2020-09-28 |
| 1861008666 | Lisa Messina | Behavior Technician | 17 Claremount Ave, Brockton, MA 02302-1006 | 2020-09-17 |
| 1487264255 | Cindy Teixeria Galvao | Behavior Technician | 11 Temple St, Brockton, MA 02301-6017 | 2020-08-05 |
| 1376169375 | Eliane Andrade Alves | Behavior Technician | 55 Hill St, Brockton, MA 02302-3230 | 2020-06-25 |
| 1053951939 | Shawntia Peters | Behavior Technician | 4 Main St Ste 306, Brockton, MA 02301-4027 | 2020-01-08 |
| 1265098586 | Aflaudite Goncalves | Behavior Technician | 87 Winthrop St, Brockton, MA 02301-5223 | 2019-05-13 |
| 1023581543 | Toni Fairhurst | Behavior Technician | 14 Greenfield St, Brockton, MA 02301-3351 | 2019-01-08 |
| 1720557028 | Jackymore K Iwuala | Behavior Technician | 140 Foster St, Brockton, MA 02301-5919 | 2018-11-15 |
| 1932697778 | Maria Zofia Pratt | Behavior Technician | 33 Brook St Apt 7, Brockton, MA 02301-5170 | 2018-04-26 |
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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.