AMANDA CLARK (NPI# 1710587522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710587522 |
| Entity Type | Individual |
| Full Name | AMANDA CLARK |
| Practice Address |
8000 Towers Crescent Dr Vienna VA 22182-6207 |
| Mailing Address |
10278 Windgate Ct Manassas VA 20110-6163 |
| Practice Telephone | 8335992560 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851680 | Amanda Lou Clark | Technician | 4631 Diana Dr, Diana, WV 26217-8777 | 2020-08-11 |
| 1225666035 | Amanda Louise Clark | Registered Nurse | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-03-28 |
| 1881220226 | Amanda S Clark | Nurse Practitioner | 1115 State St # 4342, Cayce, SC 29033-4342 | 2020-03-17 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1467956003 | Amanda K Clark | Respiratory Therapist, Certified | 1225 Laurel St Ste 219, Columbia, SC 29201-5826 | 2018-03-20 |
| 1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
| 1578938163 | Amanda Leigh Clark | Occupational Therapy Assistant | 218 Mill Hill Acres Dr, Peterstown, WV 24963-9797 | 2015-12-08 |
| 1043554256 | Amanda J Clark | Physical Therapist | 1312 W Arch Haven Ave Bldg 1320, Suite E, Bloomington, IN 47403-2089 | 2012-11-15 |
| 1770810954 | Amanda J Clark | Specialist/Technologist | 8700 Sheridan Road, Nw, Thornville, OH 43076 | 2009-11-10 |
| 1891967204 | Amanda Bleu Clark | Counselor | 150 Nickerson St Ste 303, Seattle, WA 98109 | 2008-03-25 |
| Street Address |
8000 TOWERS CRESCENT DR |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902873185 | Leonard D Dasilva | Psychiatry & Neurology | 8000 Towers Crescent Dr, Ste 1350, Vienna, VA 22182-6207 | 2006-03-07 |
| 1457952681 | David Eduardo Lopez Cardona | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-11-04 |
| 1093316291 | Alexis Lacaille Lorick | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-11-04 |
| 1154921971 | Brianna Robinson | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-10-30 |
| 1851830178 | Patronus Physicians Group PC | Psychiatry & Neurology | 8000 Towers Crescent Dr, Suite 1350, Vienna, VA 22182-6207 | 2017-02-20 |
| 1013170067 | Michael J. Katsnelson | Psychiatry & Neurology | 8000 Towers Crescent Dr, Ste 1350, Vienna, VA 22182-6207 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| 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 |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1235750159 | Mostafa K. Sidki | Behavior Technician | 8005 Tyson Oaks Cir, Vienna, VA 22182-3939 | 2020-05-01 |
| 1952902868 | Rachel Scott | Behavior Technician | 8000 Towers Crescent Dr Fl 13, Vienna, VA 22182-6211 | 2020-11-06 |
| 1457952681 | David Eduardo Lopez Cardona | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-11-04 |
| 1093316291 | Alexis Lacaille Lorick | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-11-04 |
| 1154921971 | Brianna Robinson | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-10-30 |
| 1609406859 | Julia Ross | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-16 |
| 1801426051 | Kianna Payne | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-16 |
| 1770123978 | Taylor Porter | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-15 |
| 1013557214 | Caitlyn Benjamin | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-15 |
| Find all providers in VIENNA | ||||
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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.