SHERRY ANN HICKMON (NPI# 1639716061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639716061 |
| Entity Type | Individual |
| Full Name | SHERRY ANN HICKMON |
| Credential | BCABA |
| Practice Address |
107 Southern Blvd Savannah GA 31405-7437 |
| Practice Telephone | 8008441232 |
| Mailing Telephone | 8008441232 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0167254 | GA | Behavioral Health & Social Service Providers |
| Street Address |
107 SOUTHERN BLVD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-7437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861709875 | Hospice Advantage, LLC. | Hospice Care, Community Based | 107 Southern Blvd, Suite 203, Savannah, GA 31405-7437 | 2010-09-13 |
| 1356993679 | Lana Marie Stark | Nurse Practitioner | 107 Southern Blvd, Savannah, GA 31405-7437 | 2019-07-16 |
| 1306311915 | Carlethia Elaine Thomas | Behavior Technician | 107 Southern Blvd, Savannah, GA 31405-7437 | 2018-10-10 |
| 1881169449 | Trinity Butler | Behavioral Analyst | 107 Southern Blvd, Savannah, GA 31405-7437 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1013401348 | Emily Anne Williams | Assistant Behavior Analyst | 107 Southern Blvd Ste 201, Savannah, GA 31405-7441 | 2018-06-20 |
| 1053856393 | Katherine Cubbler | Assistant Behavior Analyst | 4 Mall Ct, Savannah, GA 31406-3642 | 2016-12-22 |
| 1467914697 | Bridget M Royal Holland | Assistant Behavior Analyst | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2019-04-05 |
| 1598229569 | Michael J Brannen Jr. | Assistant Behavior Analyst | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2019-01-24 |
| 1225506090 | Alexis Beckett | Assistant Behavior Analyst | 613 Stephenson Ave Ste 206, Savannah, GA 31405 | 2018-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230781 | Annita Binta Bangura | Assistant Behavior Analyst | 4486 Parmalee Path, Conley, GA 30288-1630 | 2020-09-18 |
| 1871115287 | Pinnacle Autism Services, LLC | Assistant Behavior Analyst | 400 W Peachtree St Nw Unit 5168, Atlanta, GA 30308-3536 | 2020-05-08 |
| 1245862119 | Florida Autism Center | Assistant Behavior Analyst | 105 Grand Central Blvd Ste 101, Pooler, GA 31322-4146 | 2020-02-10 |
| 1467084848 | Dana Opsahl | Assistant Behavior Analyst | 5102 Lakewood Dr, Acworth, GA 30101-5258 | 2020-02-04 |
| 1265071955 | Florida Autism Center | Assistant Behavior Analyst | 3850 Holcomb Bridge Rd Ste 180, Norcross, GA 30092-5223 | 2019-12-30 |
| 1093354946 | Katherine Marie Santiago | Assistant Behavior Analyst | 701 Baytree Rd Ste D, Valdosta, GA 31602-2881 | 2019-12-24 |
| 1225674054 | Gillian Chance Caudill | Assistant Behavior Analyst | 315 Buckingham Ter, Athens, GA 30607-1576 | 2019-11-27 |
| 1710521927 | Eryn Nettles | Assistant Behavior Analyst | 185 Steven St, Richmond Hill, GA 31324-7236 | 2019-10-30 |
| 1093358541 | Florida Autism Center | Assistant Behavior Analyst | 1220 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2019-10-28 |
| 1457994907 | Florida Autism Center | Assistant Behavior Analyst | 5328 Lanier Islands Pkwy, Buford, GA 30518-9071 | 2019-10-28 |
| 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.