MACKENZIE W COUCH (NPI# 1780244202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780244202 |
| Entity Type | Individual |
| Full Name | MACKENZIE W COUCH |
| Credential | MS,BCBA |
| Practice Address |
4500 Satellite Blvd Ste 2250 Duluth GA 30096-5047 |
| Practice Telephone | 8003812195 |
| Practice Fax Number | 8883810822 |
| Mailing Telephone | 8003812195 |
| Mailing Fax Number | 8883810822 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-32004 | TN | Behavioral Health & Social Service Providers |
| Street Address |
4500 SATELLITE BLVD STE 2250 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790209880 | Debrienne Robinson | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2017-07-31 |
| 1659998995 | Sarah Dunbar Boone | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2020-07-02 |
| 1538796974 | Lisa A Epling | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2020-03-25 |
| 1144860834 | Luz Yolinette Crespo-soto | Occupational Therapist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2020-01-09 |
| 1548805302 | Alexa Kelly | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2019-11-15 |
| 1134764491 | Derick Deshun Frazier | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2019-11-11 |
| 1477112902 | Brittany Janowski | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2019-06-09 |
| 1760940845 | Abbey Taylor | Occupational Therapist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2019-03-07 |
| 1699242719 | Nadia Millsap | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2018-10-26 |
| 1760957120 | Kahla James | Speech-Language Pathologist | 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 | 2018-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| 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 |
|---|---|---|---|---|
| 1578782363 | Joseph Alan Darling | Behavioral Analyst | 4930 Pleasant Hill Rd, Duluth, GA 30096-3009 | 2007-04-24 |
| 1700487089 | Asia Webb | Behavioral Analyst | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-11-04 |
| 1700497310 | Richard Armstrong | Behavioral Analyst | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-08-17 |
| 1609498047 | Airiana Renai Chattam | Behavioral Analyst | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-08 |
| 1497377725 | Jennifer Mayfield Chaney | Behavioral Analyst | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-05-08 |
| 1609495977 | Shannon M Stone Hare | Behavioral Analyst | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2020-04-15 |
| 1386279438 | Katie Jayne Sandquist | Behavioral Analyst | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-03-10 |
| 1366912131 | Zoii Leeper Thompson | Behavioral Analyst | 4390 Pleasant Hill Rd, Duluth, GA 30096-8054 | 2018-12-05 |
| 1619450558 | Above & Beyond Consulting LLC | Behavioral Analyst | 828 E 7th St, Duluth, MN 55805-1444 | 2018-09-06 |
| 1437645454 | Florida Autism Center | Behavioral Analyst | 4390 Pleasant Hill Rd, Duluth, GA 30096-8054 | 2018-07-02 |
| Find all providers in DULUTH | ||||
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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.