TERREA GINA BRIDGES (NPI# 1629614037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629614037 |
| Entity Type | Individual |
| Full Name | TERREA GINA BRIDGES |
| Practice Address |
2387 Huntcrest Rd Lawrenceville GA 30043 |
| Mailing Address |
2908 Heritage Oaks Cir Dacula GA 30019-7083 |
| Practice Telephone | 6787102324 |
| Mailing Telephone | 6784996278 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-91496 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2387 HUNTCREST RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| 1962949628 | Rebekah Snow | Behavioral Analyst | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2017-01-19 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1811501240 | N'kyla Rolland | Behavior Technician | 930 Fox Meadow Ln, Lawrenceville, GA 30043-6382 | 2020-09-02 |
| 1922620129 | Pooja Johnson | Behavior Technician | 595 Morningside Dr, Lawrenceville, GA 30043-4556 | 2020-05-11 |
| 1356804751 | Kelsey Norah Wright | Behavior Technician | 3118 Wakefield St, Lawrenceville, GA 30044-5675 | 2019-04-11 |
| 1154921187 | Ariana Fountain | Behavior Technician | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2020-10-28 |
| 1366049942 | Dayva Esperanza Hubbard | Behavior Technician | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2020-10-06 |
| 1710584644 | Robert William Perez | Behavior Technician | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2020-10-05 |
| 1629675855 | Eleesia Moragne | Behavior Technician | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2020-10-01 |
| 1124625389 | Reana Francis | Behavior Technician | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2020-10-01 |
| 1649887894 | Yolicia Sharia Mitchell | Behavior Technician | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2020-09-30 |
| 1609483437 | Jennifer Freedman | Behavior Technician | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2020-09-25 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on TERREA GINA BRIDGES.
| 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.