ANTORRIA DION TYSON (NPI# 1629538582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629538582 |
| Entity Type | Individual |
| Full Name | ANTORRIA DION TYSON |
| Practice Address |
1239 Woodland Dr Ste 112 Elizabethtown KY 42701-3723 |
| Mailing Address |
141 Calumet Loop Elizabethtown KY 42701-4484 |
| Practice Telephone | 5023585106 |
| Mailing Telephone | 3373538336 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| 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 |
1239 WOODLAND DR STE 112 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528555075 | Amy Derae Mcguire | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2018-04-20 |
| 1508473455 | Andrea Tucker | Behavior Technician | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-09-24 |
| 1538790100 | Emma Hare | Behavior Technician | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-01-31 |
| 1336779099 | Carlie Crawford | Behavior Technician | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-01-22 |
| 1184254914 | Christopher Dew Upton | Behavior Technician | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-01-21 |
| 1871123737 | Taelore Watkins | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-01-20 |
| 1184264905 | Brianna Michelle Wright | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-01-09 |
| 1881234771 | Sarah Lynn Nannery | Behavior Technician | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-01-08 |
| 1235778382 | Edward C Best | Behavior Technician | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-01-06 |
| 1467099010 | Savanah Adkins | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
|---|---|---|---|---|
| 1972137230 | Christina Lutz | Behavioral Analyst | 1609 N Dixie Ave Ste 107, Elizabethtown, KY 42701-7494 | 2020-02-26 |
| 1962986547 | Ana Lynna Barger | Behavioral Analyst | 1231 Woodland Dr # 312, Elizabethtown, KY 42701-2709 | 2018-09-20 |
| 1528555075 | Amy Derae Mcguire | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2018-04-20 |
| 1689182941 | Francine Han | Behavioral Analyst | 401 N Miles St, Elizabethtown, KY 42701-1834 | 2018-01-19 |
| 1861869232 | Leigh Shannon Haley-mize | Behavioral Analyst | 728 Radio Rd, Elizabethtown, PA 17022-8993 | 2015-09-01 |
| 1871123737 | Taelore Watkins | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-01-20 |
| 1184264905 | Brianna Michelle Wright | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-01-09 |
| 1467099010 | Savanah Adkins | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2019-12-03 |
| 1558827915 | Maranda Elizabeth Johnson | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2019-02-11 |
| 1528524972 | Brittney Lee Humphrey | Behavioral Analyst | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2019-02-11 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.