KELLY YOUNG (NPI# 1598381121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598381121 |
| Entity Type | Individual |
| Full Name | KELLY YOUNG |
| Practice Address |
5175 Old Clemmons School Road Winston Salem NC 27102 |
| Mailing Address |
209 Arthur Dr Apt C Thomasville NC 27360-6339 |
| Practice Telephone | 7047804271 |
| Practice Fax Number | 8882616694 |
| Mailing Telephone | 3362258050 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058600 | Kelly Young | Registered Nurse | 501 Howard Ave Ste D, Altoona, PA 16601-4810 | 2019-11-19 |
| 1861842700 | Kelly Michelle Young | Physician Assistant | 2424 Erwin Rd Ste 201, Durham, NC 27705-3825 | 2016-06-21 |
| 1508216631 | Kelly Young | Marriage & Family Therapist | 7350 Heritage Village Plz Unit 102, Gainesville, VA 20155-3085 | 2016-06-20 |
| 1013394865 | Kelly Ann Young | Dietitian, Registered | 1380 El Cajon Blvd, El Cajon, CA 92020-5703 | 2015-04-30 |
| 1306144167 | Kelly Marie Young | Counselor | 201 Houston St Ste 104, Batavia, IL 60510-1960 | 2011-03-03 |
| 1164736641 | Kelly Young | Physical Therapy Assistant | 396 Lake Nepessing Rd., Lapeer, MI 48446-2910 | 2010-07-27 |
| 1922246099 | Kelly Young | Social Worker | 3140 Tarrant Ln, Plano, TX 75025-5291 | 2009-01-28 |
| 1265682801 | Kelly Shannon Young | Physical Therapist | 1151 Robeson Street, Fall River, MA 02720-5566 | 2008-09-19 |
| 1851598833 | Kelly Elizabeth Young | Dentist | 2005 Saint Charles St Ste 5, Jasper, IN 47546-9146 | 2007-07-02 |
| 1053924423 | Kelly Lee Young | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-08-26 |
| Street Address |
5175 OLD CLEMMONS SCHOOL ROAD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411697 | Brenita Howard | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-09-10 |
| 1124637277 | Jodie Murphy | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27284 | 2020-07-24 |
| 1063020964 | Adam Thibeault | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-07-16 |
| 1528685443 | Garcia Jacobs Harris | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-26 |
| 1437775632 | Iman Saadat | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-23 |
| 1588280119 | Turquoise Muir | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-19 |
| 1538784095 | Sara Holka | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-10 |
| 1619591849 | Rachel Clark | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-03 |
| 1427672914 | Vontreece Hayes | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-01 |
| 1811510787 | Danita Turner | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811246994 | Rita Nickens-silva | Counselor | 1014 Hawk Ridge Circle, Winston-salem, NC 27102 | 2012-09-05 |
| 1497368419 | Jazmen Makala Batchelor | Behavior Technician | 5175 Old Clemmons School Rd, Winston-salem, NC 27102 | 2020-08-28 |
| 1144471947 | Shieghetha Lennette Edwards | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27102-0344 | 2008-10-10 |
| 1841259983 | John Dowling Mcconnell | Urology | Medical Center Blvd, Winston Salem, NC 27102-0344 | 2006-03-18 |
| 1891981247 | Charles Timothy Monroe | Preventive Medicine | 799 N Highland Ave, Winston Salem, NC 27102-0686 | 2007-09-19 |
| 1306941422 | Margaret Seawell Speas | Physician Assistant | 799 N Highland Avenue, Winston Salem, NC 27102-0686 | 2006-09-13 |
| 1558494815 | North Carolina Digital Imaging, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2554 Lewisville - Clemmons Road, Suite 201, Box 11, Clemmons, NC 27102-8110 | 2007-03-14 |
| 1548869670 | Megan Nicholson | Behavior Technician | 5175 Old Clemmons School Rd., Winston-salem, NC 27102-9087 | 2020-10-20 |
| 1528665171 | Lisa Renee Shoemaker | Behavior Technician | 5175 Old Clemmons School Rd, Winston-salem, NC 27102-9087 | 2020-10-07 |
| 1275146656 | Alexandria Vilchis | Behavior Technician | 5175 Old Clemmons School Rd, Winston- Salem, NC 27102-9087 | 2020-08-26 |
| Find all providers in zip 27102 | ||||
| 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 |
|---|---|---|---|---|
| 1124634597 | Unique Williams | Behavior Technician | 108 N Cleveland Ave, Winston Salem, NC 27101-4435 | 2020-09-21 |
| 1124633938 | Tamara Marina Tigani | Behavior Technician | 2020 Northcliffe Dr Apt 718, Winston Salem, NC 27106-3378 | 2020-09-09 |
| 1982256608 | Stacy Elaine Zabel | Behavior Technician | 5140 Cobblestone Rd, Winston Salem, NC 27106-9671 | 2019-07-12 |
| 1922650761 | Nazjah Mcbride | Behavior Technician | 2367 Bethabara Rd Apt G10, Winston Salem, NC 27106-2339 | 2019-07-11 |
| 1780243964 | Jakayla Slade | Behavior Technician | 1812 Camden Forest Dr, Winston Salem, NC 27127-4686 | 2019-06-11 |
| 1437717634 | Kelsey Miller | Behavior Technician | 1959 N Peace Haven Rd Ste 104, Winston Salem, NC 27106-4850 | 2019-06-03 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1689137333 | Janora Bey | Behavior Technician | 1959 N Peacehaven Rd # 104, Winston Salem, NC 27106-4850 | 2019-04-10 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1952879827 | Crystal Fleming | Behavior Technician | 2513 La Deara Crest Ln, Winston Salem, NC 27105-3074 | 2018-11-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27102 |
Please comment or provide details below to improve the information on KELLY YOUNG.
| 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.