AUBREY WISE (NPI# 1831595321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831595321 |
Entity Type | Individual |
Full Name | AUBREY WISE |
Other Name | AUBREY MIRANDA GONZALEZ |
Practice Address |
3115 Sunset Blvd West Columbia SC 29169-3425 |
Mailing Address |
2580 Lin Do Ct Sumter SC 29150-1832 |
Practice Telephone | 8037913722 |
Practice Fax Number | 8039054431 |
Mailing Telephone | 8039054427 |
Mailing Fax Number | 8039054431 |
Enumeration Date | 2014-11-10 |
Last Update Date | 2018-04-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-14-6059 | SC | Behavioral Health & Social Service Providers |
Street Address |
3115 SUNSET BLVD |
City | WEST COLUMBIA |
State | SC |
Zip Code | 29169-3425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750866406 | Clarissa Salas | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-09-28 |
1811474992 | Ashley Jenkins | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-07-23 |
1285111351 | Lacey Anslow | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-07-23 |
1851878920 | Summer Wadford | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-07-23 |
1053898288 | Jennifer Byerly | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-07-20 |
1952895138 | Jennifer Shealy | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-06-20 |
1538657176 | Charlotte Harvin | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-04-30 |
1871081026 | Sarah Trowbridge | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-04-24 |
1972091007 | Lauren Williams | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-04-24 |
1134616501 | Hannah Douglas | Behavior Technician | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
Find all providers in zip 29169 |
Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1467092916 | Jessica Florez | Assistant Behavior Analyst | 751 E. Georgia St, Woodruff, SC 29388 | 2020-01-13 |
1629617550 | Maria Del Rosario Paniagua Alejo | Assistant Behavior Analyst | 3620 Pelham Rd, Greenville, SC 29615-5044 | 2019-12-23 |
1417599697 | Quenesina Yioma Davis | Assistant Behavior Analyst | 200 Elford Ct, Spartanburg, SC 29306-3250 | 2019-10-09 |
1083265037 | Christina Prince | Assistant Behavior Analyst | 3236 Landmark Dr Ste 103, North Charleston, SC 29418-8489 | 2019-09-21 |
1588138192 | Janette Klepacki | Assistant Behavior Analyst | 2801 Pelham Rd, Greenville, SC 29615-4101 | 2019-01-16 |
1548745839 | Rebecca Coker | Assistant Behavior Analyst | 133 Merrywood Dr, Greenwood, SC 29649-1549 | 2018-10-02 |
1700371382 | Ashley Paige Eppes | Assistant Behavior Analyst | 1610 Longview Rd, Mount Pleasant, SC 29464-9722 | 2018-06-26 |
1417449760 | Jolene Donaldson | Assistant Behavior Analyst | 4906 Darby Ln, Myrtle Beach, SC 29579-3199 | 2018-06-02 |
1326535378 | Emma Fitzpatrick | Assistant Behavior Analyst | 1099 Playground Rd, Charleston, SC 29407-6465 | 2018-04-16 |
1194223651 | Thrive Behavioral Consultants LLC | Assistant Behavior Analyst | 101 Reedy View Dr Apt 445, Greenville, SC 29601-1876 | 2018-01-30 |
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City | WEST COLUMBIA |
Zip Code | 29169 |
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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.