MISS HAILEY KATHLEEN MCDONOUGH (NPI# 1912568379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912568379 |
| Entity Type | Individual |
| Full Name | MISS HAILEY KATHLEEN MCDONOUGH |
| Credential | BEHAVIOR TECHNICIAN |
| Practice Address |
16 Bridge Gate Plymouth MA 02360-6377 |
| Practice Telephone | 5082878692 |
| Mailing Telephone | 5082878692 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
16 BRIDGE GATE |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-6377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285713685 | Gordon Anthony Defalco | Psychologist | 16 Bridge Gate, Plymouth, MA 02360-6377 | 2006-11-04 |
| 1740823343 | Jessica Groom | Behavior Technician | 16 Bridge Gate, Plymouth, MA 02360-6377 | 2019-10-26 |
| 1154837326 | Taylor Boyle | Behavioral Analyst | 16 Bridge Gate, Plymouth, MA 02360-6377 | 2017-12-23 |
| 1033652193 | Brooke Adams | Counselor | 16 Bridge Gate, Plymouth, MA 02360-6377 | 2016-11-22 |
| 1679829162 | Stonebridge Behavioral Services | Behavioral Analyst | 16 Bridge Gate, Plymouth, MA 02360-6377 | 2012-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| 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 |
|---|---|---|---|---|
| 1609480102 | Kelly Romano | Behavior Technician | 15 Dickson Dr, Plymouth, MA 02360-6832 | 2020-09-02 |
| 1740808484 | Dennis Fox | Behavior Technician | 19 Jamies Path, Plymouth, MA 02360-4980 | 2020-07-09 |
| 1700435856 | Leeann Winner | Behavior Technician | 650 Church St Ste 216, Plymouth, MI 48170-1689 | 2019-09-10 |
| 1730654682 | Leah Liakos | Behavior Technician | 650 Church St # 215, Plymouth, MI 48170-1689 | 2018-10-08 |
| 1659846517 | Reed Holden | Behavior Technician | 650 Church St Unit 215, Plymouth, MI 48170-1689 | 2018-10-08 |
| 1659860567 | Taishawn Miller | Behavior Technician | 13225 58th Ave N Apt E, Plymouth, MN 55442-1685 | 2018-05-07 |
| 1730608597 | Cristin M Ramage | Behavior Technician | 44 Industrial Park Rd, Plymouth, MA 02360-4829 | 2017-09-13 |
| 1164949160 | Qiana Eberly | Behavior Technician | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2017-08-29 |
| 1093316937 | Cailin Murphy | Behavior Technician | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2020-11-06 |
| 1891396602 | Allison Munguia | Behavior Technician | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2020-11-06 |
| Find all providers in PLYMOUTH | ||||
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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.