MRS. CAROLINE MADELINE WALLACE (NPI# 1841857141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841857141 |
| Entity Type | Individual |
| Full Name | MRS. CAROLINE MADELINE WALLACE |
| Credential | MS, BCBA |
| Practice Address |
4 Broadway Ave Ext, Unit 3 Stonington CT 06378 |
| Mailing Address |
5 Wood Crest Dr Old Lyme CT 06371-2840 |
| Practice Telephone | 8609803233 |
| Mailing Telephone | 2072283291 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 805 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225587736 | Caroline Wallace | Social Worker | 123 Union St Ste 201, Easthampton, MA 01027-4100 | 2016-09-26 |
| 1134545494 | Caroline Wallace | Dentist | 103 S Colorado St, Salem, VA 24153-3848 | 2014-03-11 |
| 1457752289 | Caroline Wallace | Specialist | 275 Prospect St, Norwood, MA 02062-1467 | 2014-09-11 |
| Street Address |
4 BROADWAY AVE EXT, UNIT 3 |
| City | STONINGTON |
| State | CT |
| Zip Code | 06378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811070972 | Michael Patrick O'brien | Psychiatry & Neurology | 32 Water Street, Stonington, CT 06378 | 2006-10-23 |
| 1093819088 | Leslie Ellen Orenstein | Social Worker | 808 Stonington Road, Suite 201, Stonington, CT 06378 | 2006-09-11 |
| 1538625587 | Robin Hennessey Lcsw, LLC | Social Worker | 107 Wilcox Road, Stonington, CT 06378 | 2019-02-14 |
| 1548498124 | Dana N. Kuhl | Counselor | 40 Trumbull Ave, Stonington, CT 06378-1018 | 2009-06-23 |
| 1023081205 | Stonington Volunteer Ambulance Corp In | Ambulance | 84 Alpha Ave, Stonington, CT 06378-1114 | 2006-02-09 |
| 1649201021 | John P. Carbo | Marriage & Family Therapist | 65 Alpha Ave, Stonington, CT 06378-1115 | 2006-07-05 |
| 1295804193 | Jean B. Peterson | Social Worker | 22 Bayview Ave, Stonington, CT 06378-1142 | 2006-11-06 |
| 1952315210 | Molly A Kunka | Social Worker | 22 Bayview Ave, Stonington, CT 06378-1148 | 2006-07-29 |
| 1568977767 | Elizabeth Nuesch | Behavior Technician | 213 Elm St Apt 2, Stonington, CT 06378-1165 | 2017-12-10 |
| 1922050632 | David Holland Burchenal | Internal Medicine | 213 Elm St, Stonington, CT 06378-1165 | 2006-05-17 |
| Find all providers in zip 06378 | ||||
| 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 |
|---|---|---|---|---|
| 1235508573 | Cynthia Woodis West | Behavioral Analyst | 17 Oak St, Stonington, CT 06378-2766 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302160 | Heartlinks Aba LLC | Behavioral Analyst | 65 Cables Ave Apt 2, Waterbury, CT 06710-1644 | 2020-10-01 |
| 1609483411 | Michelle Ribas Alves | Behavioral Analyst | 620 Peet St, Bridgeport, CT 06606-2731 | 2020-09-25 |
| 1669088829 | Naiesha A Jean-claude | Behavioral Analyst | 67 Yale St, Stratford, CT 06615-6363 | 2020-09-22 |
| 1356957617 | Kristen E Walsh | Behavioral Analyst | 80 New St, Ridgefield, CT 06877-3822 | 2020-09-21 |
| 1023624855 | Annika Simmons | Behavioral Analyst | 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 | 2020-09-17 |
| 1487260337 | Chileshe Chisanga | Behavioral Analyst | 32c Wall St, Madison, CT 06443-3100 | 2020-09-16 |
| 1912512252 | Sarah Howard | Behavioral Analyst | 56 Horace St, Stratford, CT 06614-4225 | 2020-09-14 |
| 1093320582 | Kristin Rhea Fortier | Behavioral Analyst | 9 Pollack Rd, Mansfield Center, CT 06250-1625 | 2020-09-10 |
| 1063027753 | Amanda Imbriglio | Behavioral Analyst | 37 Mechanic St Fl 2, Pawcatuck, CT 06379-2133 | 2020-09-10 |
| 1356956221 | Lindsay A Yanke | Behavioral Analyst | 34 Lilley Rd, West Hartford, CT 06119-1333 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | STONINGTON |
| Zip Code | 06378 |
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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.