MR. SAMUEL G DIEDRICH (NPI# 1831701614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831701614 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL G DIEDRICH |
| Practice Address |
10 Gill St Ste J Woburn MA 01801-1721 |
| Mailing Address |
89 Champney St Groton MA 01450-1358 |
| Practice Telephone | 6175056183 |
| Mailing Telephone | 9788779789 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
10 GILL ST STE J |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801154257 | Danielle M Wiegand | Behavioral Analyst | 10 Gill St Ste J, Woburn, MA 01801 | 2012-04-23 |
| 1740880491 | Justin Scott | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-10-30 |
| 1447862446 | Neila Berthe Rene | Behavioral Analyst | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-08-20 |
| 1801406285 | Katie Lynn Wells | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-07-31 |
| 1992322218 | Mackenzie Blomstrom | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-07-02 |
| 1508483066 | Cynthia Frances Currier Boccia | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-07-01 |
| 1912528175 | Jivie Harris | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-04-29 |
| 1215557632 | Maria Borisenkova | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-04-27 |
| 1679193437 | Sarah Elisabeth Norton | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-04-22 |
| 1427686948 | Rachel Devorah Schwarz | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| 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 |
|---|---|---|---|---|
| 1750982716 | Natasha Charest-ciampa | Behavior Technician | 500 W Cummings Park Ste 1800, Woburn, MA 01801-6506 | 2020-11-05 |
| 1366078792 | Paulina Marie Messina | Behavior Technician | 5 Constitution Way Ste C, Woburn, MA 01801-1199 | 2020-03-17 |
| 1134750920 | Heather Lynn Joya | Behavior Technician | 600 West Cummings Park, Suite 1800 & 1900, Woburn, MA 01801-6369 | 2020-01-30 |
| 1629632146 | Victoria Pirrello | Behavior Technician | 600 W Cummings Park Ste &1900, Woburn, MA 01801-6369 | 2019-04-30 |
| 1962065078 | Michelle Silverman | Behavior Technician | 600 W Cummings Park Ste, Woburn, MA 01801-6369 | 2019-04-16 |
| 1548745318 | Alana Burdine | Behavior Technician | 600 W Cummings Park Ste 18001900, Woburn, MA 01801-6369 | 2018-09-27 |
| 1629567151 | Sharif Ahkeem Jamal Thomas | Behavior Technician | 3 Fairmount St, Woburn, MA 01801-4203 | 2018-05-10 |
| 1316449994 | Alyson Astuccio | Behavior Technician | 331 Montvale Ave Ste 500, Woburn, MA 01801-4670 | 2018-02-28 |
| 1023519733 | Kaela Martin | Behavior Technician | 331 Montvale Ave Ste 5, Woburn, MA 01801-4675 | 2018-02-27 |
| 1417456229 | Caleigh Flaherty | Behavior Technician | 31 Montvale Ave Apt 5, Woburn, MA 01801-4262 | 2018-02-07 |
| Find all providers in WOBURN | ||||
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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.