MATTHEW GUILLETTE (NPI# 1699374611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699374611 |
| Entity Type | Individual |
| Full Name | MATTHEW GUILLETTE |
| Practice Address |
1411 Princess Anne St Fredericksburg VA 22401 |
| Mailing Address |
1219 Skylark Dr Weston FL 33327-2380 |
| Practice Telephone | 5409221110 |
| Practice Fax Number | 7753921245 |
| Mailing Telephone | 5409221110 |
| Mailing Fax Number | 7753921245 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1411 PRINCESS ANNE ST |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154572204 | Toni Haman | Behavioral Analyst | 1411 Princess Anne St, Fredericksburg, VA 22401 | 2008-10-07 |
| 1679119804 | Mackenzie Donovan | Behavior Technician | 1411 Princess Anne St, Fredericksburg, VA 22401 | 2019-11-22 |
| 1598309635 | Cayla Hennes | Behavior Technician | 1411 Princess Anne St, Fredericksburg, VA 22401 | 2019-11-01 |
| 1881236859 | Melissa Perez | Behavior Technician | 1411 Princess Anne St, Fredericksburg, VA 22401 | 2019-10-11 |
| 1518517820 | Emily Moore | Behavior Technician | 1411 Princess Anne St, Fredericksburg, VA 22401 | 2019-09-18 |
| 1518515550 | Ashley Gallegos-leon | Behavior Technician | 1411 Princess Anne St, Fredericksburg, VA 22401 | 2019-09-03 |
| 1053970269 | Lisanne Jenel Padmore | Behavior Technician | 1411 Princess Anne St, Fredericksburg, VA 22401-3832 | 2019-06-11 |
| 1669941233 | Jennifer M Redmond | Behavior Technician | 1411 Princess Anne St, Fredericksburg, VA 22401 | 2018-11-13 |
| 1285132506 | Emily Marie Ferraro | Behavior Technician | 1411 Princess Anne St, Fredericksburg, VA 22401 | 2018-02-01 |
| 1083120844 | Rebecca Frances Taft | Behavior Technician | 1411 Princess Anne St, Fredericksburg, VA 22401 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| 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 |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1376164434 | Angela Maija-liisa Penn | Behavior Technician | 11415 Lone Pine Ct, Fredericksburg, VA 22408-0482 | 2020-04-29 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1780236174 | Valerie Hart | Behavior Technician | 3542 Len Hart Ln, Fredericksburg, VA 22408-0411 | 2019-07-15 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1346758109 | Daria Ditzler | Behavior Technician | 10707 Spotsylvania Ave Ste 101, Fredericksburg, VA 22408-2682 | 2018-01-15 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| 1831604164 | Emily Masannat | Behavior Technician | 1411 Princess Anne Street, Fredericksburg, VA 22401 | 2017-12-08 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on MATTHEW GUILLETTE.
| 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.