ELIZABETH PAMELA WALL (NPI# 1760752125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760752125 |
| Entity Type | Individual |
| Full Name | ELIZABETH PAMELA WALL |
| Other Name | ELIZABETH PAMELA HAWKES |
| Credential | BCBA |
| Practice Address |
660 Pine St Manchester NH 03104-3101 |
| Practice Telephone | 9783393256 |
| Mailing Telephone | 9783393256 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417423302 | Elizabeth Wall | Occupational Therapist | 4420 Marsh Elder Ct, Concord, CA 94521-4446 | 2018-10-17 |
| 1740200732 | Elizabeth A. Wall | Dietitian, Registered | 5847 S. Maryland Ave, Mc 4080, Chicago, IL 60637 | 2006-07-20 |
| 1639158264 | Elizabeth Ann Wall | Nurse Practitioner | 722 South College Avenue, College Place, WA 99324 | 2006-01-12 |
| 1780221663 | Elizabeth Anne Wall | Physical Therapist | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2019-12-10 |
| 1255992962 | Elizabeth A Wall | Speech-Language Pathologist | 2424 Double Churches Rd, Columbus, GA 31909-2741 | 2019-06-24 |
| 1801454442 | Elizabeth Lauren Wall | Physician Assistant | 3400 Spruce St, 100 Centrex, Philadelphia, PA 19104-4238 | 2019-05-29 |
| 1205393865 | Elizabeth Wall | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-03-01 |
| 1831470376 | Elizabeth Wall | Occupational Therapist | 4100 Albion St, Unit 624, Denver, CO 80216-4416 | 2011-08-29 |
| 1780808683 | Elizabeth Armstrong Wall | Occupational Therapist | 623 New Loudon Rd, Achievements,pllc, Latham, NY 12110-4031 | 2007-04-12 |
| 1598793762 | Elizabeth T Wall | Family Medicine | 74 Baribeau Dr, Brunswick, ME 04011-3218 | 2006-06-28 |
| Street Address |
660 PINE ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| 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 |
|---|---|---|---|---|
| 1700486529 | Alicia Varney | Behavioral Analyst | 605 Holt Ave, Manchester, NH 03109-5213 | 2020-10-30 |
| 1538774682 | Gabrielle Violette Carberry Lowther | Behavioral Analyst | 510 Chestnut St Fl 2, Manchester, NH 03101-1412 | 2020-09-14 |
| 1194364133 | Michelle Lee Mcinnes | Behavioral Analyst | 50 Bridge St Ste 307, Manchester, NH 03101-1621 | 2019-12-21 |
| 1043868342 | Erin Flanagan | Behavioral Analyst | 256 Ludlow Rd, Manchester, CT 06040-4547 | 2019-08-29 |
| 1679125017 | Mary Elizabeth Quinn | Behavioral Analyst | 1095 Bodwell Rd Unit 27, Manchester, NH 03109-5870 | 2019-07-16 |
| 1619529716 | Christopher Mcinnis | Behavioral Analyst | 747 Western Ave Ste 2, Manchester, ME 04351-3561 | 2019-07-10 |
| 1558922666 | Jessica Mimms | Behavioral Analyst | 400 S Beech St, Manchester, NH 03103-6507 | 2019-06-28 |
| 1194386748 | Mackenzie Bemis | Behavioral Analyst | 210 Notre Dame Ave Apt 2, Manchester, NH 03102-4192 | 2019-06-25 |
| 1811553720 | Christopher Michael Barclay | Behavioral Analyst | 210 Pine St Apt 124, Manchester, CT 06040-8405 | 2019-05-15 |
| 1669935235 | Emily Ann Gardner | Behavioral Analyst | 631 Bacall Sq, Manchester, NJ 08759-4956 | 2019-04-10 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.