MRS. MIRA NICOLE STALLINGS (NPI# 1619386703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619386703 |
| Entity Type | Individual |
| Full Name | MRS. MIRA NICOLE STALLINGS |
| Credential | MS, BCBA |
| Practice Address |
3727 Executive Center Dr Augusta GA 30907-2398 |
| Practice Telephone | 7068425330 |
| Mailing Telephone | 7068425330 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3727 EXECUTIVE CENTER DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-2398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184945339 | Shannon Nicole Myers | Pediatrics | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2010-06-22 |
| 1891346722 | Jessica Leigh Rey | Occupational Therapist | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2019-09-23 |
| 1942761424 | Emily Corish Miller | Nurse Practitioner | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2019-03-27 |
| 1730647025 | Brittany M Bing | Counselor | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2019-03-06 |
| 1861967903 | Kaitlyn Allen | Occupational Therapist | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2018-10-04 |
| 1194235028 | Able Pediatrics Health Services LLC | Marriage & Family Therapist | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2017-10-05 |
| 1669913208 | Able Pediatrics LLC | Pediatrics | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2017-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| 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 |
|---|---|---|---|---|
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1164846499 | 3dk Inc-georgia | Behavioral Analyst | 2903 Galahad, Augusta, GA 30909 | 2014-02-06 |
| 1205268273 | Shawn Bohanan | Behavioral Analyst | 1212 Augusta West Pkwy Ste 1b, Augusta, GA 30909-1808 | 2013-08-01 |
| 1306082169 | Soto Assisted Living Group, Inc. | Behavioral Analyst | 3736 Executive Center Dr, Augusta, GA 30907-2360 | 2008-12-29 |
| 1427683218 | Demarcus Barber | Behavioral Analyst | 1237 Augusta West Pkwy, Augusta, GA 30909-1807 | 2020-03-11 |
| 1790331841 | Able Kids Services LLC | Behavioral Analyst | 3726 Executive Center Dr, Augusta, GA 30907-5011 | 2019-08-14 |
| 1407324890 | Erin Carlisle | Behavioral Analyst | 1237 Augusta West Pkwy, Augusta, GA 30909 | 2018-11-05 |
| 1114412863 | Adam Lee Allen | Behavioral Analyst | 2824 Hillcreek Dr, Augusta, GA 30909 | 2018-06-26 |
| 1710475751 | Shannon Evelyn Blanks | Behavioral Analyst | 1237 Augusta West Pkwy, Augusta, GA 30909-1807 | 2018-04-25 |
| 1467961607 | Aliana Schuyler | Behavioral Analyst | 3736 Executive Center Dr, Augusta, GA 30907 | 2017-09-20 |
| Find all providers in AUGUSTA | ||||
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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.