THE BEHAVIOR PLACELLC (NPI# 1629536339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629536339 |
| Entity Type | Organization |
| Organization Name | THE BEHAVIOR PLACELLC |
| Practice Address |
103 Johansen Way Kingsland GA 31548 |
| Practice Telephone | 9122668686 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | LAURA TREST (OWNER/DIRECTOR) |
| Authorized Official Telephone | 4259490801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
103 JOHANSEN WAY |
| City | KINGSLAND |
| State | GA |
| Zip Code | 31548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942844162 | Sarah Rose | Assistant Behavior Analyst | 103 Johansen Way, Kingsland, GA 31548-6857 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
| 1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
| 1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
| 1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
| 1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
| 1679719348 | Stacy Nicole Alvare | Physical Therapy Assistant | 100-a Lindsey Lane, Kingsland, GA 31548 | 2008-12-30 |
| Find all providers in zip 31548 | ||||
| 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 |
|---|---|---|---|---|
| 1396346664 | Dominique Infiniti Jones | Behavioral Analyst | 512 Windmont Dr Ne, Brookhaven, GA 30329-1041 | 2020-11-04 |
| 1720689318 | Javaris Paggett | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-02 |
| 1497355812 | Unique Solutions Behavior Services | Behavioral Analyst | 4258 Holliday Rd, Atlanta, GA 30349-8849 | 2020-10-26 |
| 1922607985 | Steps, LLC | Behavioral Analyst | 1321 Bramble Rd Ne, Atlanta, GA 30329-3503 | 2020-10-21 |
| 1699381475 | James E Faison | Behavioral Analyst | 2270 Dunwoody Xing, Apt B, Atlanta, GA 30338-7319 | 2020-09-17 |
| 1679188015 | Soracha Orourke | Behavioral Analyst | 880 Glenwood Ave Se, Atlanta, GA 30316-1825 | 2020-09-12 |
| 1336753862 | Megan Boucher | Behavioral Analyst | 5825 Glenridge Dr Ste 208, Atlanta, GA 30328-5387 | 2020-09-02 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1669084398 | Mallory Moore | Behavioral Analyst | 102 Mary Alice Park Rd Ste 304, Cumming, GA 30040-2683 | 2020-08-24 |
| 1619587631 | Ashaki Felix | Behavioral Analyst | 120 Millbrook Village Dr, Tyrone, GA 30290-3605 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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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.