LESLIE GLIDEWELL (NPI# 1619507324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619507324 |
| Entity Type | Individual |
| Full Name | LESLIE GLIDEWELL |
| Credential | MED |
| Practice Address |
1801 Grant Ave Jonesboro AR 72401-6155 |
| Practice Telephone | 8709749114 |
| Mailing Telephone | 8709749114 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 237160790 | 05 |
| Street Address |
1801 GRANT AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053361477 | Personal Therapy of Northeast Arkansas, Inc. | Speech-Language Pathologist | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2006-05-10 |
| 1992329205 | Clay M Hart | Physical Therapy Assistant | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2020-06-02 |
| 1013547728 | Latacha Robinson | Specialist | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2020-01-22 |
| 1932740354 | Kidsplace Learning Center Dba Kidspot | Behavioral Analyst | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2019-10-07 |
| 1215582085 | Jeff Creighton | Physical Therapy Assistant | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2019-08-07 |
| 1215428727 | Clarissa Scott | Specialist | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2018-05-21 |
| 1407360407 | Amanda Thatcher | Registered Nurse | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2017-11-29 |
| 1174037618 | Vickie Cole | Specialist | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2017-11-20 |
| 1043724586 | Sherry Hart | Specialist | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2017-11-20 |
| 1790299220 | Jammie M Conrey | Registered Nurse | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1770051955 | Cyti V Williams | Behavioral Analyst | 386 Brittan Trl, Jonesboro, GA 30236-2096 | 2018-11-06 |
| 1922506179 | Bradsher Consultants | Behavioral Analyst | 1020 S Madison St, Jonesboro, AR 72401-3565 | 2018-01-23 |
| 1891243614 | Sierra Calahan | Behavioral Analyst | 130 Talbot St, Jonesboro, LA 71251-2826 | 2016-09-21 |
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1922425537 | Behavior Essentials of North Georgia, LLC | Behavioral Analyst | 2192 Waverly Ct, Jonesboro, GA 30236-3900 | 2014-03-20 |
| 1255685814 | Joan Gail Henley | Behavioral Analyst | 2116 Greenwood St, Jonesboro, AR 72401-4843 | 2012-11-05 |
| 1407124258 | Susanne Derossitte Belk | Behavioral Analyst | 3114 Fox Rd Ste A, Jonesboro, AR 72404-9577 | 2011-12-08 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1780218552 | Andrewniquis Perkins | Behavioral Analyst | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2020-03-02 |
| Find all providers in JONESBORO | ||||
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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.