DEIDRE ROCHELLE BUTUREZA (NPI# 1881174738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881174738 |
| Entity Type | Individual |
| Full Name | DEIDRE ROCHELLE BUTUREZA |
| Practice Address |
4875 Eisenhower Ave Ste 210 Alexandria VA 22304-4833 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5712900143 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | VA | Behavioral Health & Social Service Providers |
| Street Address |
4875 EISENHOWER AVE STE 210 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912406802 | Virginia Eunice Roldan | Behavioral Analyst | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2018-02-06 |
| 1790324762 | Adrien Dexter Harris | Behavior Technician | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2019-12-23 |
| 1912545278 | Kyla Marcia Sellers | Behavioral Analyst | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2019-12-18 |
| 1316582604 | Claire Smith | Behavior Technician | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2019-11-11 |
| 1154984557 | Kassidy Hitz | Behavioral Analyst | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2019-04-21 |
| 1871051847 | Hope Rissler | Behavior Technician | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2019-03-07 |
| 1316405970 | Sierra Mcgue | Behavior Technician | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2019-03-03 |
| 1518422666 | Jamel Dante Wortham | Behavioral Analyst | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2019-02-03 |
| 1174097893 | Marie-noelle Adjeiba Akegnan | Behavior Technician | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2019-01-15 |
| 1255805974 | Akua Mbroba Aidoo | Behavior Technician | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| 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 |
|---|---|---|---|---|
| 1700383478 | Louis Jackson | Assistant Behavior Analyst | 6104 Manor Dr, Alexandria, LA 71302-2529 | 2018-04-10 |
| 1245745439 | Kayla Hyatt | Assistant Behavior Analyst | 3341 Duke St, Alexandria, VA 22314-5219 | 2017-12-10 |
| 1306461553 | Hybridge Learning Group Va LLC | Assistant Behavior Analyst | 2800 Eisenhower Ave Ste 220, Alexandria, VA 22314-4587 | 2020-06-13 |
| 1659916831 | Ashley Norman | Assistant Behavior Analyst | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2019-11-12 |
| 1356816193 | Jenine D Evans | Assistant Behavior Analyst | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2018-10-08 |
| 1316435092 | Andrea Viscarra | Assistant Behavior Analyst | 6180 Grovedale Ct Ste 200, Alexandria, VA 22310-2552 | 2018-04-27 |
| 1861990210 | Sara Elizabeth Sachs | Assistant Behavior Analyst | 3341 Duke St, Alexandria, VA 22314-5219 | 2018-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170064 | Yuly Angelica Willard | Assistant Behavior Analyst | 300 Arboretum Pl, Suite 500, Richmond, VA 23236 | 2020-09-28 |
| 1730707340 | Indara Carroll | Assistant Behavior Analyst | 817 Castile Pl, Henrico, VA 23238-5534 | 2020-07-09 |
| 1912523747 | Ariel Nickole Weddle | Assistant Behavior Analyst | 1525 Technology Dr, Chesapeake, VA 23320-5974 | 2020-06-17 |
| 1225663701 | Brittany Kersey-adams | Assistant Behavior Analyst | 1329 Alum Spring Rd, Fredericksburg, VA 22401-8011 | 2020-03-05 |
| 1386299071 | Converge Behavioral Services, LLC | Assistant Behavior Analyst | 11507 Hearthstone Ct, Reston, VA 20191-4403 | 2019-08-08 |
| 1609437078 | Robert Brainard James Jr. | Assistant Behavior Analyst | 21786 Green Stable Sq Apt 212, Ashburn, VA 20147-6777 | 2019-06-26 |
| 1932763117 | Huafeng Wang | Assistant Behavior Analyst | 10135 Yorktown Dr, Great Falls, VA 22066-4208 | 2019-04-23 |
| 1285192195 | Alliance Aba, LLC | Assistant Behavior Analyst | 3330 Bourbon St Ste 126, Fredericksburg, VA 22408-7334 | 2019-03-10 |
| 1720543085 | Rolando A Zelada I | Assistant Behavior Analyst | 406 N Argonne Ave, Sterling, VA 20164-3003 | 2019-01-31 |
| 1659841831 | Impact Behavior Centers LLC | Assistant Behavior Analyst | 108 W Greenway Blvd, Falls Church, VA 22046-4005 | 2018-11-29 |
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| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.