ANISHA MONET ETHERIDGE (NPI# 1760954747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760954747 |
| Entity Type | Individual |
| Full Name | ANISHA MONET ETHERIDGE |
| Credential | RBT |
| Practice Address |
2185 Normandie Dr Montgomery AL 36111-2728 |
| Mailing Address |
2600 Vaughn Lakes Blvd Montgomery AL 36117-4695 |
| Practice Telephone | 2056127797 |
| Mailing Telephone | 2512537588 |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2019-01-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 18-73012 | AL | Behavioral Health & Social Service Providers |
| Street Address |
2185 NORMANDIE DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36111-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922365766 | Morgan Allen Marshall | Behavioral Analyst | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2012-04-18 |
| 1851992937 | Johnnaca Reed | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-11-04 |
| 1245846286 | Bethany Goodrum | Occupational Therapy Assistant | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-09-16 |
| 1124633458 | Carliesha Terrell | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-09-14 |
| 1912512898 | Gina Merrill Harp | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-09-09 |
| 1548878911 | Tiffany L Carmichael | Speech-Language Pathologist | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-07-21 |
| 1013535459 | Robert J Pickens | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-07-13 |
| 1417572470 | Laura Fontil | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-06-15 |
| 1386269645 | Raven N. Williams | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-06-12 |
| 1184258667 | Mary Elizabeth Johns | Occupational Therapist | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
| 1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
| 1942330568 | Jefferson Underwood, IIi, Md, PC | Internal Medicine | 2173 Normandie Dr, Montgomery, AL 36111 | 2007-03-06 |
| 1659456606 | Jefferson Underwood | Internal Medicine | 2171 Normandie Dr, Montgomery, AL 36111 | 2006-10-26 |
| 1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
| 1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
| 1689651408 | Montgomery Aids Outreach, Inc. | Clinic/Center | 2900 Mcgehee Rd, Montgomery, AL 36111 | 2005-12-22 |
| Find all providers in zip 36111 | ||||
| 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 |
|---|---|---|---|---|
| 1982221487 | Dorothy Breske | Behavior Technician | 2669 Caliendo Cir, Montgomery, IL 60538-4013 | 2020-06-30 |
| 1699308379 | Chloe Morgan Kaminski | Behavior Technician | 32 Greenfield Rd, Montgomery, IL 60538-2314 | 2020-02-20 |
| 1982252797 | Arynn Troupe | Behavior Technician | 1320 Carmichael Way, Montgomery, AL 36106-3691 | 2019-08-27 |
| 1184114563 | Katelyn Nicole Herndon | Behavior Technician | 45 Hunter Dr, Montgomery, IL 60538-2059 | 2018-05-11 |
| 1225562192 | Katarina Krokkerova | Behavior Technician | 2460 Riva Ridge Rd, Montgomery, IL 60538-3408 | 2017-04-17 |
| 1851992937 | Johnnaca Reed | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-11-04 |
| 1124633458 | Carliesha Terrell | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-09-14 |
| 1912512898 | Gina Merrill Harp | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-09-09 |
| 1013535459 | Robert J Pickens | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-07-13 |
| 1417572470 | Laura Fontil | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-06-15 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36111 |
Please comment or provide details below to improve the information on ANISHA MONET ETHERIDGE.
| 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.