TERESA MARIE SISTRUNK (NPI# 1891316550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891316550 |
| Entity Type | Individual |
| Full Name | TERESA MARIE SISTRUNK |
| Credential | RBT |
| Practice Address |
3800 University Ave Columbus GA 31907-5609 |
| Practice Telephone | 8006765130 |
| Practice Fax Number | 8889595753 |
| Mailing Telephone | 8006765130 |
| Mailing Fax Number | 8889595753 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT20-116504 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | REGISTERED BEHAVIORAL TECHNICIAN | RBT20-116504 | 01 |
| Street Address |
3800 UNIVERSITY AVE |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31907-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952577603 | Jennifer Ellis | Social Worker | 3800 University Ave, Columbus, GA 31907-5609 | 2008-05-02 |
| 1902406622 | Ke'andrea Ladson | Behavior Technician | 3800 University Ave, Columbus, GA 31907-5609 | 2020-10-30 |
| 1922613447 | Jormanise Mi'yel Sanders | Behavior Technician | 3800 University Ave, Columbus, GA 31907-5609 | 2020-09-11 |
| 1144835679 | Nikeitha Shamir Mccloud | Behavior Technician | 3800 University Ave, Columbus, GA 31907-5609 | 2020-09-11 |
| 1467062760 | Stephanie Lynn Baker | Behavior Technician | 3800 University Ave, Columbus, GA 31907-5609 | 2020-08-03 |
| 1194342006 | Jacoby Davani | Behavior Technician | 3800 University Ave, Columbus, GA 31907-5609 | 2020-06-26 |
| 1821621517 | Michala Stone | Behavior Technician | 3800 University Ave, Columbus, GA 31907-5609 | 2020-02-20 |
| 1922644731 | Tania Margarita Ramos | Behavior Technician | 3800 University Ave, Columbus, GA 31907-5609 | 2019-11-27 |
| 1245876069 | Michelle Pamela Sullivan | Behavior Technician | 3800 University Ave, Columbus, GA 31907-5609 | 2019-11-27 |
| 1730738931 | Morganne Ashley Lusk | Behavior Technician | 3800 University Ave, Columbus, GA 31907-5609 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
| 1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
| 1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
| 1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
| 1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
| 1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
| Find all providers in zip 31907 | ||||
| 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 |
|---|---|---|---|---|
| 1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
| 1255948832 | Kayla Maree Pitzer | Behavior Technician | 1639 Bradley Park Dr Ste 500, Columbus, GA 31904-3623 | 2020-09-28 |
| 1225659055 | Nyesha Newsom | Behavior Technician | 5394 Ivywood Ln, Columbus, OH 43229-3909 | 2020-05-04 |
| 1437770708 | Erin M Beach | Behavior Technician | 3070 Riverside Dr Ste 400, Columbus, OH 43221-2547 | 2020-04-28 |
| 1790310001 | Mackenzie Ann Steitz | Behavior Technician | 3070 Riverside Dr # 200, Columbus, OH 43221-2547 | 2020-03-06 |
| 1891335352 | Dayana Banks | Behavior Technician | 3070 Riverside Dr Unit 200, Columbus, OH 43221-2547 | 2020-01-13 |
| 1730729401 | Sarah Hendricks | Behavior Technician | 2222 Poshard Dr, Columbus, IN 47203-1843 | 2020-01-10 |
| 1740821362 | Luke Marcus Ekstrom | Behavior Technician | 1349 Warren Williams Rd, Columbus, GA 31901-2630 | 2019-10-04 |
| 1972152122 | Emily Grace Rhodes | Behavior Technician | 3575 Macon Rd Ste 11, Columbus, GA 31907-8228 | 2019-09-10 |
| 1295387892 | Dewaynia Traniese Farrow | Behavior Technician | 1709 Bunker Hill Rd, Columbus, GA 31907-6719 | 2019-07-12 |
| Find all providers in COLUMBUS | ||||
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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.