FIDDLEHEAD SCHOOL (NPI# 1639610215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639610215 |
| Entity Type | Organization |
| Organization Name | FIDDLEHEAD SCHOOL |
| Practice Address |
25 Shaker Rd Gray ME 04039-9435 |
| Practice Telephone | 2076572244 |
| Practice Fax Number | 2076572288 |
| Mailing Telephone | 2076572244 |
| Mailing Fax Number | 2076572288 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | JACINDA COTTON-CASTRO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2076572244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIDDLEHEAD SCHOOL OF ARTS & SCIENCES | 25 Shaker Rd Ste 2, Gray, ME 04039-9435 |
| Street Address |
25 SHAKER RD |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| 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 |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1619527066 | Elizabeth Ruth Vaillancourt Poultney | Behavior Technician | 50 Donald B Dean Dr, South Portland, ME 04106-3373 | 2019-09-18 |
| 1235785346 | Brianne Mcinnis | Behavior Technician | 50 Donald B Dean Dr Ste B, South Portland, ME 04106-3373 | 2019-08-14 |
| 1720550536 | Kara Lynn Sawyer | Behavior Technician | 13 Staples St, Eliot, ME 03903-2224 | 2018-12-19 |
| 1811483472 | Byron David Watson | Behavior Technician | 33 Beverly Dr, Brunswick, ME 04011-9117 | 2018-07-06 |
| 1740788314 | Sydney Damian-loring | Behavior Technician | 527 Ocean Ave # 19, Portland, ME 04103-4972 | 2018-01-29 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1346851623 | Christopher W Larose | Behavior Technician | 50 Donald B Dean Dr Ste B, South Portland, ME 04106-3373 | 2020-08-11 |
| 1295380251 | Tyler Jesse Doyon | Behavior Technician | 236 Gannett Dr, South Portland, ME 04106-6913 | 2019-08-07 |
| 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.