MS. STACEY KATHLEEN DE WITT (NPI# 1720503477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720503477 |
| Entity Type | Individual |
| Full Name | MS. STACEY KATHLEEN DE WITT |
| Credential | LMSW |
| Practice Address |
5030 Broadway Ste 201 New York NY 10034-1615 |
| Practice Telephone | (212) 795-9888 |
| Practice Fax Number | 2127959899 |
| Mailing Telephone | 2127959888 |
| Mailing Fax Number | 2127959899 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 88863 | NY | Behavioral Health & Social Service Providers |
| Street Address |
5030 BROADWAY STE 201 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10034-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104174580 | Lisa Marie Perez | Student in an Organized Health Care Education/Training Program | 5030 Broadway Ste 201, New York, NY 10034-1611 | 2012-08-16 |
| 1912525452 | Sabrina Theresa Murchison | Social Worker | 5030 Broadway Ste 201, New York, NY 10034-1615 | 2020-07-10 |
| 1831717537 | Diosmiry Rodriguez | Social Worker | 5030 Broadway Ste 201, New York, NY 10034-1615 | 2020-07-08 |
| 1629694179 | Yohansa Fernandez | Social Worker | 5030 Broadway Ste 201, New York, NY 10034-1615 | 2020-06-21 |
| 1932721321 | Lindsay Taylor | Social Worker | 5030 Broadway Ste 201, New York, NY 10034-1615 | 2020-05-08 |
| 1912549288 | Zohayra Castillo | Social Worker | 5030 Broadway Ste 201, New York, NY 10034-1615 | 2019-10-08 |
| 1699326421 | Sara Chana Weinberger | Student in an Organized Health Care Education/Training Program | 5030 Broadway Ste 201, New York, NY 10034-1615 | 2019-09-23 |
| 1336797406 | Arianna Marie Colon | Student in an Organized Health Care Education/Training Program | 5030 Broadway Ste 201, New York, NY 10034-1615 | 2019-08-30 |
| 1447816491 | Andrew Kaminsky | Registered Nurse | 5030 Broadway Ste 201, New York, NY 10034-1615 | 2019-05-15 |
| 1154883841 | Danielle Weiss | Social Worker | 5030 Broadway Ste 201, New York, NY 10034-1615 | 2019-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812512 | Vilma Lantigua | Physician Assistant | 90 Vermilyea Ave #139, New York, NY 10034 | 2019-10-11 |
| 1477037125 | Alexa Paige Ruffino | Physician Assistant | 5105 Broadway, New York, NY 10034 | 2018-09-19 |
| 1821514456 | Chinara M Tate | Dietitian, Registered | 520 W 218th Street, Apt 3a, New York, NY 10034 | 2017-08-15 |
| 1770006165 | Brittany Palmer | Speech-Language Pathologist | 10 Park Ter E Apt 4l, New York, NY 10034 | 2017-07-18 |
| 1457891947 | Easy Choice Agency | Home Health | 3863 10th Avenue, Ny, NY 10034 | 2017-03-02 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1902274756 | Rosa Ma Caram | Early Intervention Provider Agency | 601 Kappock St., Apt. 4e, Bronx, NY 10034 | 2015-09-10 |
| 1104232040 | Michael Kwakye | General Practice | 5030 Broadway Ste 816, New York, NY 10034 | 2014-07-10 |
| 1619389624 | Jay Steven Reidler | Orthopaedic Surgery | Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 | 2014-05-25 |
| 1467718247 | Sherman Medical Care, PC | Internal Medicine | 231 Sherman Ave, 1f, New York, NY 10034 | 2012-04-06 |
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| 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 |
|---|---|---|---|---|
| 1962001701 | Precious S Reid | Behavioral Analyst | 135 W 50th St Bsmt A, New York, NY 10020-1201 | 2020-10-22 |
| 1083211825 | Gabriella Davila Davila | Behavioral Analyst | 50 Riverside Blvd Apt 24b, New York, NY 10069-0252 | 2020-10-05 |
| 1245842996 | Tanisha Ramirez | Behavioral Analyst | 237 W 127th St Apt 5a, New York, NY 10027-2923 | 2020-08-22 |
| 1821608076 | Julie Greene | Behavioral Analyst | 415 E 85th St Apt 5j, New York, NY 10028-6356 | 2020-08-03 |
| 1194343541 | Meaghan Theresa Boyle | Behavioral Analyst | 107 W 82nd St Ste 101, New York, NY 10024-5511 | 2020-07-13 |
| 1134746415 | Teri Steinberg | Behavioral Analyst | 55 W 89th St Apt 4f, New York, NY 10024-2028 | 2020-07-02 |
| 1447875422 | Hannah Adrienne Berrie | Behavioral Analyst | 520 E 20th St Apt 9c, New York, NY 10009-8314 | 2020-06-15 |
| 1487278107 | Frances Sevilla | Behavioral Analyst | 135th West 50th Street, New York, NY 10020 | 2020-05-29 |
| 1609409721 | Tpg Aba Services LLC | Behavioral Analyst | 100 E 74th St Apt 2g, New York, NY 10021-3544 | 2020-02-17 |
| 1184255655 | Yuan Yuan Qi | Behavioral Analyst | 125 Delancey Streetapt 2106, New York, NY 10002-5386 | 2020-02-03 |
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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.