AMIE DRYSGOLA (NPI# 1750874475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750874475 |
| Entity Type | Individual |
| Full Name | AMIE DRYSGOLA |
| Credential | BEHAVIOR TECHNICIAN |
| Practice Address |
75 S Church St Pittsfield MA 01201-6157 |
| Mailing Address |
788 South St Pittsfield MA 01201-8237 |
| Practice Telephone | 4134997924 |
| Practice Fax Number | 4134426284 |
| Mailing Telephone | 4134997924 |
| Mailing Fax Number | 4134426284 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-2742-4948 | MA | Behavioral Health & Social Service Providers |
| Street Address |
75 S CHURCH ST |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-6157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053669481 | Colleen Rebecca Jordan | Counselor | 75 S Church St, 6th Floor Suite 6, Pittsfield, MA 01201-6157 | 2012-08-15 |
| 1265925986 | Kristen Newsome | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1053804872 | Christine Lynch | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1407349228 | Kim Mutz | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1487147203 | Dana Boosma | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1376036095 | Nikki Mcwhirt | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1033602859 | Shayla Bowman | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1194218818 | Amanda Forgett | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1760974224 | Jenna Hamilton | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-05-31 |
| 1245659754 | Berkshire Medical Center, Inc | Hospice Care, Community Based | 75 S Church St, Pittsfield, MA 01201-4109 | 2014-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| 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 |
|---|---|---|---|---|
| 1538645734 | Taylor Marie Fiske I | Behavior Technician | 23 Lakeway Dr, Pittsfield, MA 01201-3112 | 2018-07-11 |
| 1437713724 | Jennifer Leggett | Behavior Technician | 395 South St, Pittsfield, MA 01201-6803 | 2019-04-23 |
| 1770054884 | Kiasia Pilot | Behavior Technician | 17 Spring St, Pittsfield, MA 01201-4848 | 2018-12-16 |
| 1265925986 | Kristen Newsome | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1053804872 | Christine Lynch | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1407349228 | Kim Mutz | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1487147203 | Dana Boosma | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1376036095 | Nikki Mcwhirt | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1033602859 | Shayla Bowman | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| 1194218818 | Amanda Forgett | Behavior Technician | 75 S Church St, Pittsfield, MA 01201-6157 | 2018-06-07 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.