KRISSHONDA ELAINE ODUFUWA (NPI# 1720480064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720480064 |
| Entity Type | Individual |
| Full Name | KRISSHONDA ELAINE ODUFUWA |
| Other Name | KRISSHONDA ELAINE ODUFUWA |
| Credential | M.E.D, SLPA, BCBA |
| Practice Address |
4230 Fairway Dr Apt 4101 Carrollton TX 75010 |
| Mailing Address |
4230 Fairway Dr Apt 4101 Carrollton TX 75010-3275 |
| Practice Telephone | 8326134417 |
| Mailing Telephone | 8326134417 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
35492 | TX | Speech, Language and Hearing Service Providers |
| Y | 103K00000X | Behavioral Analyst | 1958 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1345 River Bend Dr, Dallas, TX 752476943 | 2147431286 | |
| 190 Civic Cir Ste 250, Lewisville, TX 750673648 | 9722191200 |
| Street Address |
4230 FAIRWAY DR APT 4101 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205459757 | Wendy Morris | Behavioral Analyst | 2741 E Belt Line Rd Ste 107, Carrollton, TX 75006-5429 | 2020-05-19 |
| 1083251284 | Stephanie Nicole Foster | Behavioral Analyst | 2155 Marsh Ln Ste 132, Carrollton, TX 75006-5080 | 2019-12-06 |
| 1366084410 | Jeremiah Anzualda | Behavioral Analyst | 4100 Midway Rd Ste 1010, Carrollton, TX 75007-1962 | 2019-10-10 |
| 1053864629 | Megan Hollister | Behavioral Analyst | 2020 E Hebron Pkwy # 110, Carrollton, TX 75007-1618 | 2016-07-29 |
| 1144638099 | Courtney Leigh Rodriguez | Behavioral Analyst | 2020 E Hebron Pkwy Ste 120, Carrollton, TX 75007 | 2014-07-23 |
| 1326474222 | Language Works LLC | Behavioral Analyst | 2413 E Hebron Pkwy, Carrollton, TX 75010-4427 | 2013-09-24 |
| 1285928325 | Brittany Dean | Behavioral Analyst | 443 N Josey Lane, # 100, Carrollton, TX 75010-4052 | 2011-06-07 |
| 1144836016 | Emerald Janae Oatis | Behavioral Analyst | 4443 N Josey Ln Ste 100, Carrollton, TX 75010-4677 | 2020-09-16 |
| 1053922278 | Christina Cross | Behavioral Analyst | 4100 Midway Rd Ste 1010, Carrollton, TX 75007-1962 | 2020-08-11 |
| 1194350587 | Zahra Aly | Behavioral Analyst | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-03-06 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on KRISSHONDA ELAINE ODUFUWA.
| 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.