SHEVITA ANDREA COOPER-MARTIN (NPI# 1801493036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801493036 |
| Entity Type | Individual |
| Full Name | SHEVITA ANDREA COOPER-MARTIN |
| Credential | RBT |
| Practice Address |
2651 Dallas Hwy Sw Marietta GA 30064-2541 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 6784861904 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-100600 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2651 DALLAS HWY SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790245173 | Hopebridge, LLC | Psychologist | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2019-03-22 |
| 1790384758 | Latifah Ashley Allen | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-10-21 |
| 1154920114 | Alonso Manuel Bonilla | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-10-21 |
| 1447866553 | Ansley Stansell Tiencken | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-23 |
| 1518573625 | Holly Joy Walker | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-23 |
| 1972119089 | Lacohlia Jade Rollins | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-23 |
| 1851907968 | Sarah Michelle Thomas | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-23 |
| 1801401591 | Jordan Elizabeth Hand | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-10 |
| 1356956049 | Destini Elizabeth Kadijah Heard | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-10 |
| 1881209799 | Rachel Michelle Spann | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1598378598 | Christopher Morgan | Behavior Technician | 2291 Collinworth Dr, Marietta, GA 30062-2970 | 2020-08-28 |
| 1487264453 | Teryl Crump | Behavior Technician | 2251 Loring Oak Pl Nw, Marietta, GA 30064-4741 | 2020-08-05 |
| 1235757428 | Emily Michelle Rice | Behavior Technician | 2121 Newmarket Pkwy Se Ste 130, Marietta, GA 30067-9309 | 2020-07-14 |
| 1497374987 | Kimberly Mills Linsey | Behavior Technician | 2121 New Mkt Pkwy Se Ste 130, Marietta, GA 30067-9309 | 2020-04-14 |
| 1164058541 | Jesse Aretsky Gladney | Behavior Technician | 50 Plaza Way Nw Ste A, Marietta, GA 30060-1141 | 2020-03-18 |
| 1033760038 | Rowlena Duncan Hartman | Behavior Technician | 10999 Cemetery Rd, Marietta, OK 73448-2043 | 2019-09-23 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1891357844 | Tai Nichole Hall | Behavior Technician | 137 Johnson Ferry Rd Ste 2179, Marietta, GA 30068-4945 | 2019-06-30 |
| 1003472044 | Sunny Patel | Behavior Technician | 137 Johnson Ferry Rd Ste 2170, Marietta, GA 30068-4948 | 2019-05-15 |
| 1285190439 | Steven Christopher Jeffery | Behavior Technician | 2232 Highland Parc Pl Se, Marietta, GA 30067-2431 | 2019-02-13 |
| Find all providers in MARIETTA | ||||
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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.