TRACY LYNN TAYLOR (NPI# 1902329618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902329618 |
| Entity Type | Individual |
| Full Name | TRACY LYNN TAYLOR |
| Practice Address |
673 Prestige Blvd Fayetteville NC 28314 |
| Mailing Address |
673 Prestige Blvd Fayetteville NC 28314-6521 |
| Practice Telephone | 9109878086 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003394792 | Tracy Dee Taylor | Registered Nurse | 4500 Blue Stem Apt 24106, Prosper, TX 75078-1777 | 2018-08-03 |
| 1831563121 | Tracy Taylor | Pharmacy Technician | 12 Railroad St, Island Pond, VT 05846-0026 | 2015-11-24 |
| 1588098891 | Tracy Jean Taylor | Licensed Practical Nurse | 375 Spring St, Spartanburg, SC 29301-4708 | 2013-08-23 |
| 1386923126 | Tracy Bell Taylor | Counselor | 2910 49th St, Vero Beach, FL 32967-1275 | 2011-08-10 |
| 1487886461 | Tracy L Taylor | Massage Therapist | 181 Todds Creek Rd, Central, SC 29630-9441 | 2009-08-10 |
| 1316101025 | Tracy Neal Taylor | Dentist | 202 East Locust Street, Fairbury, IL 61739 | 2008-07-11 |
| 1972627180 | Tracy Lynn Taylor | Nutritionist | 1914 N 34th St Ste 500, Seattle, WA 98103-9091 | 2007-03-16 |
| 1215030374 | Tracy Taylor | Counselor | 11eagle Dr., Vilonia, AR 72173 | 2006-09-06 |
| 1225598469 | Tracy M Taylor | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2019-03-22 |
| 1760905160 | Tracy S Taylor | Physical Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2017-07-18 |
| Street Address |
673 PRESTIGE BLVD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| 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 |
|---|---|---|---|---|
| 1629675137 | Vera Jacobs | Behavior Technician | 205 White Tail Ct, Fayetteville, GA 30214-4923 | 2020-10-07 |
| 1497361141 | Gita Krishna | Behavior Technician | 351 Wagoner Dr Ste 325, Fayetteville, NC 28303-4674 | 2020-09-18 |
| 1295351070 | Judy Jenkins Alexander | Behavior Technician | 917b Laurel St, Fayetteville, NC 28303-4046 | 2020-06-17 |
| 1467077180 | Kayla Ann Disanti | Behavior Technician | 447 Tradewinds Dr Apt H, Fayetteville, NC 28314-2496 | 2020-06-09 |
| 1164056081 | Khadijah Lurene Bean | Behavior Technician | 3450 Dorado Cir Apt 301, Fayetteville, NC 28304-0635 | 2020-02-29 |
| 1255970745 | Charna Patrice Mcnair | Behavior Technician | 5741 Dobson Dr, Fayetteville, NC 28311-3452 | 2019-12-31 |
| 1730738204 | Tachi Alexis Hogans | Behavior Technician | 1016 Issac Dock Dr, Fayetteville, NC 28314-8425 | 2019-09-08 |
| 1396393427 | Alsha A Moon | Behavior Technician | 5533 Livingston Dr, Fayetteville, NC 28311-1839 | 2019-09-02 |
| 1366991788 | Jintana Cutno Wiggins | Behavior Technician | 2008 Wheeling St, Fayetteville, NC 28303-6330 | 2016-09-27 |
| 1720482904 | Denise Travolina | Behavior Technician | 1541 Laurel Oak Dr, Fayetteville, NC 28314-6221 | 2014-10-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on TRACY LYNN TAYLOR.
| 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.