KATELYN E PRUE (NPI# 1720597834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720597834 |
| Entity Type | Individual |
| Full Name | KATELYN E PRUE |
| Credential | BCBA |
| Practice Address |
5414 Backlick Road C Springfield VA 22151 |
| Mailing Address |
419 S Washington St Alexandria VA 22314-3629 |
| Practice Telephone | 7165315564 |
| Mailing Telephone | 7165315564 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-27061 | VA | Behavioral Health & Social Service Providers |
| Street Address |
5414 BACKLICK ROAD C |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499849 | Aan Healthcare Services Inc. | Home Health | 6820 Commercial Dr, Ste D, Springfield, VA 22151 | 2020-02-14 |
| 1073093563 | Joy Home Health Care, LLC | Home Health | 6820 Commercial Drive, Suite #14, Springfield, VA 22151 | 2018-08-15 |
| 1457842676 | Community Concepts, Inc. | Behavioral Analyst | 9001 Braddock Rd Ste 220, Springfield, VA 22151 | 2018-05-23 |
| 1245741172 | Abf Home Healthcare Services, LLC | Nursing Care | 6820 Commercial Drive Suite D, Springfield, VA 22151 | 2017-10-18 |
| 1144763806 | Marcus Rein | Physical Therapist | 6805 Industrial Rd, Springfield, VA 22151 | 2016-11-29 |
| 1760843676 | Pablo Enrique Moro | Counselor | 5415-c Backlick Rd, Springfield, VA 22151 | 2016-03-19 |
| 1780938332 | Leticia Duah | Registered Nurse | 8551 Newington Forest Court, Springfield, VA 22151 | 2012-11-05 |
| 1760624613 | Georges Traboulsi | Dentist | 5419 Backlick Rd., C, Springfield, VA 22151 | 2009-03-24 |
| 1952563033 | Nhu-anh Nguyen | Pharmacist | 5424 Backlick Road, Springfield, VA 22151 | 2008-06-30 |
| 1528231859 | Goodheart Healthcare Services, Inc. | Home Health | 5411-e Backlick Rd, Suite 100, Springfield, VA 22151 | 2008-04-08 |
| Find all providers in zip 22151 | ||||
| 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 |
|---|---|---|---|---|
| 1962001479 | Blueprint for Success LLC | Behavioral Analyst | 117 E Liberty St, Springfield, OH 45505-1935 | 2020-10-26 |
| 1790398527 | Katie Evans | Behavioral Analyst | 2117 E Madison St, Springfield, MO 65802-3025 | 2020-08-31 |
| 1275167215 | Christie Anne Tan | Behavioral Analyst | 92 Indian Rock Dr, Springfield, PA 19064-3341 | 2020-02-28 |
| 1346874674 | Haley Rose Thompson | Behavioral Analyst | 1272 S Grand Ave W, Springfield, IL 62704-3567 | 2020-02-25 |
| 1437789914 | Heather Marie Felske | Behavioral Analyst | 3048 S Clifton Ave Ste 112, Springfield, MO 65807-6045 | 2020-01-23 |
| 1164068052 | Jenna Casar | Behavioral Analyst | 1023 West Ave, Springfield, PA 19064-3729 | 2019-11-26 |
| 1376187930 | Leigha Sochurek | Behavioral Analyst | 5413 Montgomery St, Springfield, VA 22151-3855 | 2019-11-06 |
| 1659920791 | Linda Muckey | Behavioral Analyst | 4481 Ash Grove Dr, Springfield, IL 62711-6358 | 2019-09-11 |
| 1306492921 | Emmanuel Taye | Behavioral Analyst | 6700 Metropolitan Center Dr Apt 709, Springfield, VA 22150-4588 | 2019-08-12 |
| 1497213300 | Emily Ranck | Behavioral Analyst | 433 E Thomson Ave, Springfield, PA 19064-2927 | 2019-03-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22151 |
Please comment or provide details below to improve the information on KATELYN E PRUE.
| 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.