REBECCA CORNWELL


Address: 101 Coliseum Blvd, Montgomery, AL 36109-2707
Phone: 3342774372

REBECCA CORNWELL (NPI# 1689116162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689116162
Entity Type Individual
Full Name REBECCA CORNWELL
Credential MED, BCBA
Practice Address 101 Coliseum Blvd
Montgomery
AL 36109-2707
Practice Telephone 3342774372
Enumeration Date 2016-11-15
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 2017-090 AL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BEHAVIOR ANALYST CERTIFICATION BOARD 1-14-15309 01
CAQH 13999037 01
AL ALABAMA BEHAVIOR ANALYST LICENSURE BOARD 2017-090 01

Other Providers REBECCA CORNWELL

NPI Name Taxonomy Address Enumeration
1063570208 Rebecca Hicock Cornwell Social Worker 422 West Market Street, Suite A, Snow Hill, MD 21863-3547 2006-12-04

Office Location

Street Address 101 COLISEUM BLVD
City MONTGOMERY
State AL
Zip Code 36109-2707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447383450 Ashok Shah Psychiatry & Neurology 101 Coliseum Blvd, Montgomery, AL 36109-2707 2007-03-13
1700122553 Ava Michelle Dirickson Registered Nurse 101 Coliseum Blvd, Montgomery, AL 36109-2707 2012-12-26
1487829917 Montgomery Area Mental Health Authority Inc Clinic/Center 101 Coliseum Blvd, Montgomery, AL 36109-2707 2008-04-25
1255539904 Crowell Anthony Lisenby Sr. Nurse Practitioner 101 Coliseum Blvd, Montgomery, AL 36109-2707 2007-07-04
1801920582 Sukumaran C Nair Psychiatry & Neurology 101 Coliseum Blvd, Montgomery, AL 36109-2707 2007-03-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245854017 Danney Lester Hendrix Massage Therapist 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 2020-06-08
1164987590 Erin Lee Burleson Specialist/Technologist 5000 Veterns Stadium Drive, Troy, AL 36109 2019-02-11
1750876793 Wecare Therapy Services, LLC Speech-Language Pathologist 1286 Perry Hill Road, Montgomery, AL 36109 2018-06-22
1992299549 Four Seasons Healthcare Group, Inc Durable Medical Equipment & Medical Supplies 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 2018-06-18
1720537335 Cynthia Renne' Barrett Nurse Practitioner 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 2016-09-23
1780084756 Genevieve Morris Clinic/Center Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 2014-08-27
1871907568 Spencer Holaway Durham Pharmacist 615 Perry Hill Road, Montgomery, AL 36109 2014-06-20
1811256084 Philip Thomas Wilson Family Medicine 529 E Moye Dr, Montgomery, AL 36109 2012-05-09
1063744068 Healthcare On Demand, PC General Practice 4135 Atlanta Highway, Montgomery, AL 36109 2010-02-02
1316158660 Shepherd A Odom Md PC Family Medicine 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 2007-05-25
Find all providers in zip 36109

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235742180 Amy Marie Hoeweler-pedoto Behavioral Analyst 9400 Main St Ste 3, 4, 5, Montgomery, OH 45242-7650 2020-08-28
1285282723 Beth Long, Phd, Lpc Behavioral Analyst 8650 Minnie Brown Rd Ste 233, Montgomery, AL 36117-7433 2019-08-28
1437657947 Sarah Brooke Bedell Behavioral Analyst The Learning Tree, Inc, 2185 Normandie Drive, Montgomery, AL 36111-2728 2018-01-30
1144681743 Maria Vander Pluym Behavioral Analyst 2658 Caliendo Cir, Montgomery, IL 60538-4014 2016-03-10
1609284884 Amy Hebert Behavioral Analyst 7780 Campus Ln, Montgomery, OH 45242-7116 2014-07-31
1801136890 Monika T Holmes Behavioral Analyst 5924 Bramblewood Pl, Montgomery, AL 36116-7119 2013-02-27
1922365766 Morgan Allen Marshall Behavioral Analyst 2185 Normandie Dr, Montgomery, AL 36111-2728 2012-04-18
1346513918 Susan E Hulse Behavioral Analyst 2 Ingleshire Ct, Montgomery, IL 60538-2045 2012-02-13
1396016424 Jennifer S. Underwood, Bcba Behavioral Analyst 1831 Brackenbury Pl, Montgomery, AL 36117-1753 2012-01-20
1003044959 Jennifer Sonmor Underwood Behavioral Analyst 6980 Vaughn Pointe Dr Apt H, Montgomery, AL 36116-1396 2009-06-30
Find all providers in MONTGOMERY

Competitor

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City MONTGOMERY
Zip Code 36109

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Dataset Information

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.

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