MARY ELIZABETH ROBERSON (NPI# 1619500360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619500360 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH ROBERSON |
| Practice Address |
5121 Kingdom Way Ste 100 Raleigh NC 27607-6063 |
| Mailing Address |
2507 Ricky Cir Raleigh NC 27612-2947 |
| Practice Telephone | 8282608663 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| 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 |
|---|---|---|---|---|
| 1902296502 | Mary Roberson | Counselor | 39385 N Stockton Ln, Beach Park, IL 60083-3010 | 2015-02-03 |
| 1013332006 | Mary Colleen Roberson | Registered Nurse | 272 Chamberlin Dr, Buffalo, NY 14210-2614 | 2014-02-27 |
| 1992775704 | Mary Kathleen Roberson | Psychologist | 665 Emory Valley Rd, Ste. A, Oak Ridge, TN 37830-7762 | 2006-01-24 |
| Street Address |
5121 KINGDOM WAY STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881751865 | Autism Society of North Carolina, Inc. | Community/Behavioral Health | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2007-01-02 |
| 1912507260 | Taylor Danielle Edgerley | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-27 |
| 1154920544 | Elizabeth Campbell | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-18 |
| 1659970028 | Jordan Lee Hill | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-18 |
| 1770182131 | Courtney Lynn Moriarty | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-17 |
| 1124627559 | Julia Mlynarick | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-17 |
| 1417555830 | Raquel Byrd | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-16 |
| 1619575149 | Janel Moira Dy Cuevas | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-10-16 |
| 1235745308 | Christina Royster | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-09-23 |
| 1720692304 | Paige O Yanik | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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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 |
|---|---|---|---|---|
| 1629679584 | Shenita Covington | Behavior Technician | 1217 Ujamaa Dr, Raleigh, NC 27610-5767 | 2020-11-05 |
| 1629679675 | Katherine G. Brown | Behavior Technician | 5051 Amber Clay Ln, Raleigh, NC 27612-3069 | 2020-11-05 |
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1356940035 | Kaitlyn Kinzer | Behavior Technician | 6240 Saint Regis Cir Apt 202, Raleigh, NC 27606-2286 | 2020-10-22 |
| 1700484797 | Kayla Daher | Behavior Technician | 5760 Willowblue Ln Apt 110, Raleigh, NC 27604-8317 | 2020-10-13 |
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1548885544 | Jessi Wright Topping | Behavior Technician | 119 Wind Chime Ct # 4, Raleigh, NC 27615-6433 | 2020-06-15 |
| 1164043725 | Ronald Faulkner | Behavior Technician | 5213 Fieldstone Dr, Raleigh, NC 27609-4709 | 2020-05-05 |
| 1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
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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.