CRYSTAL O'MARA (NPI# 1881130052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881130052 |
| Entity Type | Individual |
| Full Name | CRYSTAL O'MARA |
| Other Name | CRYSTAL JERNIGAN |
| Credential | BCABA |
| Practice Address |
3904 Oleander Dr Wilmington NC 28403-6717 |
| Practice Telephone | 9103133232 |
| Practice Fax Number | 9103136598 |
| Mailing Telephone | 9103133232 |
| Mailing Fax Number | 9103136598 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3904 OLEANDER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346273091 | Behavioral Healthcare Services, Inc. | Behavioral Analyst | 3904 Oleander Dr, Wilmington, NC 28403-6717 | 2006-07-08 |
| 1487131298 | Desiree Macdonald | Behavior Technician | 3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6735 | 2018-07-24 |
| 1922530278 | Karina Ordonez | Behavior Technician | 3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6717 | 2017-03-28 |
| 1376084087 | Liana Mino | Behavior Technician | 3904 Oleander Dr, #102, Wilmington, NC 28403-6717 | 2017-03-14 |
| 1952848947 | Sydney Pickard | Behavior Technician | 3904 Oleander Dr, #102, Wilmington, NC 28403-6717 | 2017-01-27 |
| 1659818979 | Elizabeth Wannstedt | Behavior Technician | 3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6717 | 2017-01-24 |
| 1285176958 | Lyrica Leigh Squires | Behavior Technician | 3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6717 | 2016-11-13 |
| 1720440167 | Heather Overton | Psychologist | 3904 Oleander Dr, Wilmington, NC 28403-6717 | 2016-03-24 |
| 1952719510 | Rebecca Daniel | Psychologist | 3904 Oleander Dr, Suite 101, Wilmington, NC 28403-6717 | 2014-07-28 |
| 1073818704 | Chrysalis Center for Counseling and Eating Disorder Treatment Pllc | Dietitian, Registered | 3904 Oleander Dr, Suite 101, Wilmington, NC 28403-6717 | 2011-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| 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 |
|---|---|---|---|---|
| 1790237790 | Alexandria Hardison | Assistant Behavior Analyst | 3317 Masonboro Loop Rd Unit 150, Wilmington, NC 28409-2970 | 2016-10-26 |
| 1215448030 | Kylie Deanne Edgar | Assistant Behavior Analyst | 500 Military Cutoff Rd, Wilmington, NC 28405-9737 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461439 | Lukes Aba | Assistant Behavior Analyst | 525 Willow Breeze Ct, Zebulon, NC 27597-9703 | 2020-06-15 |
| 1275024028 | Brooke Boucher Ingram | Assistant Behavior Analyst | 1225 S Church St Apt 336, Charlotte, NC 28203-4186 | 2018-05-27 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1518475607 | Mirinda Cossel | Assistant Behavior Analyst | 1477 Nc 87, Cameron, NC 28326 | 2018-01-11 |
| 1407364573 | Leighanna Holloman | Assistant Behavior Analyst | 568 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2018-01-11 |
| 1376054064 | Peace Power & Purpose | Assistant Behavior Analyst | 10709 Glenluce Ave, Charlotte, NC 28213-4239 | 2017-10-20 |
| 1699202374 | Elena Acampora | Assistant Behavior Analyst | 1401 E 7th St # 28204, Charlotte, NC 28204-6300 | 2017-05-12 |
| 1447796990 | Miriam Joe Osei | Assistant Behavior Analyst | 6976 Timberwood Dr, Fayetteville, NC 28314-1610 | 2017-01-09 |
| 1447705389 | Carolyne Largo | Assistant Behavior Analyst | 480 Seawell Rosser Rd, Olivia, NC 28368 | 2016-08-21 |
| 1942351234 | Priorities Aba, Pllc | Assistant Behavior Analyst | 308 Greenville Blvd Se Ste B1, Greenville, NC 27858-5758 | 2007-01-15 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.