TABITHA EBBERT (NPI# 1790324465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790324465 |
| Entity Type | Individual |
| Full Name | TABITHA EBBERT |
| Credential | BCBA |
| Practice Address |
321 W Walnut St Ste 2 Johnson City TN 37604-6774 |
| Practice Telephone | 4232023622 |
| Practice Fax Number | 4236310019 |
| Mailing Telephone | 4232023622 |
| Mailing Fax Number | 4236310019 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-40003 | TN | Behavioral Health & Social Service Providers |
| Street Address |
321 W WALNUT ST STE 2 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306406418 | Sichel Spiess | Behavioral Analyst | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2019-06-20 |
| 1518574748 | Sandra Ligocki | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-10-01 |
| 1861009151 | Lesley Keyes | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-09-30 |
| 1740897032 | Chandar Smith | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-09-30 |
| 1477160760 | Jessica Harrington | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-09-30 |
| 1841807138 | Ashley Greene | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-09-30 |
| 1376150664 | Jessica Case | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-09-30 |
| 1235746520 | Adelaide S Ledes | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-09-30 |
| 1184231466 | Steven Alex Lewis | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-09-30 |
| 1447867726 | Whitney Horten | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1144857764 | Common Thread Aba LLC | Behavioral Analyst | 1709 Colonial Ridge Rd, Johnson City, TN 37604-7624 | 2020-03-24 |
| 1306406418 | Sichel Spiess | Behavioral Analyst | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2019-06-20 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1487955969 | Tri-cities Behavioral Therapy, LLC | Behavioral Analyst | 290 Boring Chapel Rd, Johnson City, TN 37615-2941 | 2010-11-15 |
| 1881920122 | Mary A Smith | Behavioral Analyst | 302 Wesley St Ste 1, Johnson City, TN 37601-1741 | 2009-10-21 |
| 1306077110 | Douglas Vaughn Washburn | Behavioral Analyst | 701 Azon Rd Fl 2, Johnson City, NY 13790-1724 | 2009-07-29 |
| 1053546994 | Missy Ann Baker | Behavioral Analyst | 1113 E Main St, Johnson City, TN 37601-4823 | 2009-05-21 |
| 1760657100 | Robert Vardaman Peets | Behavioral Analyst | 2 Leanne Cir, Johnson City, TN 37604-7671 | 2008-04-28 |
| 1083226674 | Tracy E Olevano | Behavioral Analyst | 18 Broad St, Johnson City, NY 13790-2198 | 2020-08-17 |
| 1215428321 | Kayli Cowan | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601-2040 | 2018-05-24 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.