KATHRYN GRISSOM (NPI# 1659985638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659985638 |
| Entity Type | Individual |
| Full Name | KATHRYN GRISSOM |
| Practice Address |
95 Main Street, Suite 2 East Hampton CT 06424 |
| Mailing Address |
Po Box 4039 New Haven CT 06525 |
| Practice Telephone | 8604407288 |
| Mailing Telephone | 6619725707 |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798921 | Kathryn Calahan Grissom | Speech-Language Pathologist | 119 W High St, Woodbury, TN 37190-1226 | 2020-04-07 |
| 1265851588 | Kathryn Grissom | Pharmacist | 1202 S James Campbell Blvd, Columbia, TN 38401-5193 | 2014-04-15 |
| Street Address |
95 MAIN STREET, SUITE 2 |
| City | EAST HAMPTON |
| State | CT |
| Zip Code | 06424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228043 | Sadi-ann Duckett | Behavior Technician | 95 Main Streetm Suite 2, East Hampton, CT 06424 | 2020-09-06 |
| 1508385584 | Lauren Randall | Student in an Organized Health Care Education/Training Program | 5 Tarragon Drive, East Hampton, CT 06424 | 2017-09-11 |
| 1891967410 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 54 East High Street, East Hampton, CT 06424 | 2008-03-25 |
| 1881805158 | Stewart S Danziger | Dentist | 190 East High St, East Hampton, CT 06424 | 2007-05-25 |
| 1255549457 | Jan Jacobson | Psychologist | 97 Quiet Woods Rd, East Hampton, CT 06424 | 2007-05-19 |
| 1174731608 | Joseph A Prignano | Dentist | Route 66, 14 East Hampton Road, Marlborough, CT 06424 | 2007-05-18 |
| 1184783631 | Tara Szeps | Nurse Practitioner | 54 E Hight Street, East Hampton, CT 06424 | 2006-12-08 |
| 1023105475 | Mariann Mankowski | Social Worker | 11 Town Line Dr, East Hampton, CT 06424 | 2006-10-06 |
| 1649365834 | Louisa L Foss | Counselor | 42 East High Street, Suite 201, East Hampton, CT 06424 | 2006-10-04 |
| 1972695591 | Shirley Swanson | Counselor | 42 West High St, East Hampton, CT 06424 | 2006-09-29 |
| Find all providers in zip 06424 | ||||
| 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 |
|---|---|---|---|---|
| 1083228043 | Sadi-ann Duckett | Behavior Technician | 95 Main Streetm Suite 2, East Hampton, CT 06424 | 2020-09-06 |
| 1497354567 | Michalah Hayden | Behavior Technician | 95 Main St Ste 2, East Hampton, CT 06424-1146 | 2020-10-20 |
| 1164036109 | Chantel Pineiro | Behavior Technician | 95 Main St Ste 2, East Hampton, CT 06424-1146 | 2020-09-08 |
| 1912511908 | Olivia Ozycz | Behavior Technician | 95 Main St Ste 2, East Hampton, CT 06424-1146 | 2020-09-07 |
| 1144834292 | Maria Pellegrino | Behavior Technician | 95 Main St Ste 2, East Hampton, CT 06424-1146 | 2020-09-06 |
| 1114531241 | Arva Nerenxa | Behavior Technician | 95 Main St Ste 2, East Hampton, CT 06424-1146 | 2020-09-05 |
| 1477191492 | Emma Dzamko | Behavior Technician | 95 Main St Ste 2, East Hampton, CT 06424-1146 | 2019-12-20 |
| 1841783453 | Jessica Lauren Hoff | Behavior Technician | 95 Main St, East Hampton, CT 06424-1146 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719158 | Jennifer Rodriguez | Behavior Technician | 1 Reservoir Corporate Ctr Ste 415, Shelton, CT 06484-6214 | 2020-10-28 |
| 1598364283 | Kelsey J Sullivan | Behavior Technician | 35 Halladay Dr, West Suffield, CT 06093-2027 | 2020-10-22 |
| 1811504525 | Kala Farnham | Behavior Technician | 227 Peterson Rd, Pomfret Center, CT 06259-1421 | 2020-09-26 |
| 1730793621 | Leslie Gonzalez | Behavior Technician | 33 Dixwell Ave, New Haven, CT 06511-3403 | 2020-09-08 |
| 1447869524 | Dr. Hill Educational Services LLC | Behavior Technician | 40 Glenfield Ave, Stratford, CT 06614-4044 | 2020-07-24 |
| 1053929000 | Jessica L Grillo | Behavior Technician | 209 Broad St Apt 1, Danielson, CT 06239-3037 | 2020-07-15 |
| 1144848094 | Lizana Patrick | Behavior Technician | 100 Mark Ln Unit E2, Waterbury, CT 06704-2441 | 2020-07-08 |
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | EAST HAMPTON |
| Zip Code | 06424 |
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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.