KELLY ANN DOHERTY (NPI# 1912552175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912552175 |
Entity Type | Individual |
Full Name | KELLY ANN DOHERTY |
Practice Address |
110 Cedar St Wellesley MA 02481-3527 |
Practice Telephone | 6174674136 |
Mailing Telephone | 6174674136 |
Enumeration Date | 2019-08-05 |
Last Update Date | 2019-08-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518147305 | Kelly Lynn Doherty | Chiropractor | 3536 Richwood Link, Sarasota, FL 34235-7013 | 2007-11-08 |
1760034862 | Kelly Ann Doherty | Nurse Practitioner | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2019-07-10 |
1720236656 | Kelly Doherty | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1003 | 2008-09-04 |
1588642607 | Kelly A Doherty | Nurse Practitioner | 789 Central Ave, Dover, NH 03820 | 2006-01-09 |
Street Address |
110 CEDAR ST |
City | WELLESLEY |
State | MA |
Zip Code | 02481-3527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275528192 | Kenneth C Gorson | Psychiatry & Neurology | 110 Cedar St, Wellesley, MA 02481-3527 | 2005-09-16 |
1336752112 | Emily Blake | Behavioral Analyst | 110 Cedar St, Wellesley, MA 02481-3527 | 2020-08-31 |
1154978336 | Naomi Reed | Behavioral Analyst | 110 Cedar St, Wellesley, MA 02481-3527 | 2019-08-21 |
1518474782 | Lauren Gaydosh | Behavior Technician | 110 Cedar St, Wellesley, MA 02481-3527 | 2018-01-09 |
1194230276 | Kristina Wallin | Behavior Technician | 110 Cedar St, Wellesley, MA 02481-3527 | 2017-12-11 |
1528584125 | Jessica Marie Egan | Developmental Therapist | 110 Cedar St, Wellesley, MA 02481-3527 | 2017-08-16 |
1245766203 | Melanie Boyac | Behavior Technician | 110 Cedar St, Wellesley, MA 02481-3527 | 2017-05-11 |
1861927394 | Katherine Greene | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481-3527 | 2017-04-21 |
1588196380 | Shahana Shaikh | Behavioral Analyst | 110 Cedar St, Wellesley, MA 02481-3527 | 2017-03-30 |
1306210422 | The Elliot Lewis Center for Multiple Sclerosis Care LLC | Psychiatry & Neurology | 110 Cedar St, Suite 110, Wellesley, MA 02481-3527 | 2015-12-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
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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 |
---|---|---|---|---|
1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
1194331413 | Hannah Raeleigh Hurowitz | Behavior Technician | 42 Washington St Ste 110, Wellesley, MA 02481-1817 | 2020-09-22 |
1912512666 | Courtney Michelle Fisher | Behavior Technician | 42 Washington St Ste 110, Wellesley, MA 02481-1817 | 2020-09-10 |
1235740812 | Makayla Ann Quinn | Behavior Technician | 110 Cedar St Ste 10, Wellesley, MA 02481-3527 | 2020-08-16 |
1952927204 | Andrea Corkins | Behavior Technician | 110 Cedar St Ste 10, Wellesley, MA 02481-3527 | 2020-06-23 |
1972128833 | Christina Potenza | Behavior Technician | 110 Cedar St Ste 10, Wellesley, MA 02481-3527 | 2020-06-16 |
1033744651 | Bridget Theresa Ann Haranas | Behavior Technician | 42 Washington St Ste 110, Wellesley, MA 02481-1817 | 2020-03-04 |
1578106357 | Chelsea Tierney | Behavior Technician | 110 Cedar St Ste 10, Wellesley, MA 02481 | 2019-10-23 |
1750924023 | Laura Valeria Marrero Melendez | Behavior Technician | 110 Cedar St Ste 10, Wellesley, MA 02481-3527 | 2019-10-19 |
1669022836 | Jarrett Kelley | Behavior Technician | 110 Cedar St Ste 10, Wellesley, MA 02481-3527 | 2019-09-18 |
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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.