DESEREE NICOLE HUTSON (NPI# 1780229542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780229542 |
| Entity Type | Individual |
| Full Name | DESEREE NICOLE HUTSON |
| Other Name | DESEREE NICOLE MAIETTA |
| Practice Address |
10514 Racetrack Rd Berlin MD 21811-3241 |
| Practice Telephone | 4109732301 |
| Mailing Telephone | 4109732301 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 483106300 | 05 |
| Street Address |
10514 RACETRACK RD |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851839872 | Jennifer Lynn Glodzik | Behavior Technician | 10514 Racetrack Rd, Suite G, Berlin, MD 21811-3241 | 2017-02-09 |
| 1801421508 | Jessica Kendara Tyler | Behavior Technician | 10514 Racetrack Rd, Suite G, Berlin, MD 21811 | 2020-03-03 |
| 1922646074 | Brendan Weldon | Behavior Technician | 10514 Racetrack Rd, Berlin, MD 21811-3241 | 2019-12-18 |
| 1053957399 | Nicole Downing | Behavior Technician | 10514 Racetrack Rd, Berlin, MD 21811-3241 | 2019-11-21 |
| 1184265415 | Erica Danielle Needam | Behavior Technician | 10514 Racetrack Rd, Berlin, MD 21811-3241 | 2019-10-08 |
| 1225694540 | Jamie L Mccreery | Behavior Technician | 10514 Racetrack Rd, Berlin, MD 21811-3241 | 2019-05-13 |
| 1447716162 | Alfrieda Jones | Behavior Technician | 10514 Racetrack Rd, Berlin, MD 21811-3241 | 2019-02-18 |
| 1356815047 | Kamiya Harris | Behavior Technician | 10514 Racetrack Rd, Berlin, MD 21811-3241 | 2019-01-15 |
| 1639648934 | Jonelle Nobbee | Behavior Technician | 10514 Racetrack Rd, Berlin, MD 21811-3241 | 2018-11-15 |
| 1962978437 | Hailey Louise Simpler | Behavior Technician | 10514 Racetrack Rd, Berlin, MD 21811-3241 | 2018-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| 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 |
|---|---|---|---|---|
| 1881206118 | Annika Hogan | Behavior Technician | 162 Lyman Rd, Berlin, MA 01503-1803 | 2020-08-18 |
| 1851839872 | Jennifer Lynn Glodzik | Behavior Technician | 10514 Racetrack Rd, Suite G, Berlin, MD 21811-3241 | 2017-02-09 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1265030423 | Katherine Meredith | Behavior Technician | 617 Franklin Ave, Berlin, MD 21811-1358 | 2020-10-11 |
| 1639707409 | Christopher Edward Wright | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2020-03-29 |
| 1740817527 | Shardae Bailey | Behavior Technician | 10514 Racetrack Rd Ste C, Berlin, MD 21811-3241 | 2020-03-24 |
| 1801421508 | Jessica Kendara Tyler | Behavior Technician | 10514 Racetrack Rd, Suite G, Berlin, MD 21811 | 2020-03-03 |
| 1588297840 | Tyana Everett | Behavior Technician | 10514 Racetrack Rd Ste C, Berlin, MD 21811-3241 | 2020-02-14 |
| 1356971766 | Bernard W Merritt II | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2020-01-24 |
| 1285264945 | Phylicia Smith | Behavior Technician | 10514 Racetrack Rd Ste C, Berlin, MD 21811-3241 | 2020-01-22 |
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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.