LEIGH ERIN BROUGHAN (NPI# 1760721138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760721138 |
| Entity Type | Individual |
| Full Name | LEIGH ERIN BROUGHAN |
| Other Name | LEIGH ERIN WOODBURY |
| Credential | BCBA |
| Practice Address |
700 Mount Hope Ave Ste 320 Bangor ME 04401-5680 |
| Practice Telephone | 2079412952 |
| Practice Fax Number | 3172492248 |
| Mailing Telephone | 2079412952 |
| Mailing Fax Number | 3172492248 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-08-4876 | IN | Behavioral Health & Social Service Providers |
| Street Address |
700 MOUNT HOPE AVE STE 320 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992877765 | Katharine J Disalvatore Fortin | Speech-Language Pathologist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2006-11-15 |
| 1740724285 | Daniel Cohen | Social Worker | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2016-12-16 |
| 1366995540 | Heidi Anne Crouse | Speech-Language Pathologist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2016-07-25 |
| 1972925964 | Jennifer Williams | Specialist/Technologist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2014-01-10 |
| 1942543848 | Sadel Davis | Counselor | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2013-03-29 |
| 1093068041 | Melissa Shorey | Social Worker | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2012-10-16 |
| 1285983262 | Keith Gordon Tibbetts | Counselor | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2012-09-05 |
| 1689805590 | Sarah Christine Marks | Specialist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2009-07-28 |
| 1497957021 | Ucp of Northeastern Maine | Residential Treatment Facility, Emotionally Disturbed Children | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1962604595 | Ucp of Northeastern Maine | Residential Treatment Facility, Emotionally Disturbed Children | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1356651640 | Mark David Roth | Behavioral Analyst | 118 Maple St, Bangor, ME 04401-4032 | 2010-10-20 |
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|---|---|---|---|---|
| 1417579707 | Mckenna Squiers | Behavioral Analyst | 16 Squiers Aly, Nobleboro, ME 04555-9604 | 2020-05-11 |
| 1952921678 | Sarah Howorth | Behavioral Analyst | 2 Riverdale Dr, Orono, ME 04473-4245 | 2020-04-22 |
| 1619529716 | Christopher Mcinnis | Behavioral Analyst | 747 Western Ave Ste 2, Manchester, ME 04351-3561 | 2019-07-10 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1508336116 | Lora Perry | Behavioral Analyst | 81 Webber Road, Georgetown, ME 04548 | 2018-11-27 |
| 1811470701 | Brett Dinovi Associates North | Behavioral Analyst | 305 Aa Main Street, Waterboro, ME 04087 | 2018-09-07 |
| 1326525874 | Jamie L Emerson | Behavioral Analyst | 69 Burnham St, Old Town, ME 04468-1940 | 2018-07-26 |
| 1033608757 | Katie Ann Dargie | Behavioral Analyst | 161 Roosevelt Trl, Naples, ME 04055-5437 | 2018-05-08 |
| 1376048991 | Sandra Titcomb | Behavioral Analyst | 2 Chelsey Way, Kennebunk, ME 04043-6888 | 2018-03-26 |
| 1225550460 | Atlantic Academy | Behavioral Analyst | 10 Knowlton St, Camden, ME 04843-1517 | 2017-07-10 |
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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.