KELLEY T WASSICK (NPI# 1932667094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932667094 |
| Entity Type | Individual |
| Full Name | KELLEY T WASSICK |
| Practice Address |
462 Hegeman Ave Colchester VT 05446-3187 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 2072398603 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 73083265 | VT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 462 Hegeman Ave, Colchester, VT 054463187 | 2072398603 |
| Street Address |
462 HEGEMAN AVE |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05446-3187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063043990 | Alexandra Ridgewell | Behavior Technician | 462 Hegeman Ave, Colchester, VT 05446-3187 | 2020-01-29 |
| 1164062485 | Jenna Bora | Behavior Technician | 462 Hegeman Ave, Colchester, VT 05446-3187 | 2020-01-14 |
| 1578101887 | Sebastian Franck Hermantin | Behavior Technician | 462 Hegeman Ave, Colchester, VT 05446-3187 | 2019-12-17 |
| 1174174221 | Tina Thompson | Behavior Technician | 462 Hegeman Ave, Colchester, VT 05446-3187 | 2019-09-20 |
| 1003478025 | Mallory Veronica Bauer | Behavioral Analyst | 462 Hegeman Ave, Colchester, VT 05446-3187 | 2019-06-29 |
| 1205494309 | Sara Dempsey | Behavior Technician | 462 Hegeman Ave, Colchester, VT 05446-3187 | 2019-06-03 |
| 1952965501 | Willow Quirin East | Behavior Technician | 462 Hegeman Ave, Colchester, VT 05446-3187 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130157 | Justin Michael Boufford | Pharmacist | 218 Lower Mountian View Dr., Colchester, VT 05446 | 2020-09-24 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| 1972011047 | Erin Lee Murphy | Speech-Language Pathologist | 131 Laker Lane, Colchester, VT 05446 | 2018-01-11 |
| 1821535204 | Zoe Walsh | Specialist/Technologist | 131 Laker Ln, Colchester, VT 05446 | 2017-01-24 |
| 1407262827 | Charlotte M Church | Dentist | 416 Roosevelt Hwy Ste 201, Colchester, VT 05446 | 2014-07-07 |
| 1215251681 | Courtney Joy Brink | Speech-Language Pathologist | 1100 Prim Rd, Colchester, VT 05446 | 2010-03-15 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1659539393 | Deborah Kalamasz | Speech-Language Pathologist | 11102 Ethan Allen Ave, Colchester, VT 05446 | 2008-05-29 |
| 1235356700 | Angelo Marinakis | Chiropractor | 85 Prim Road, Suite 401, Colchester, VT 05446 | 2007-04-19 |
| 1629292719 | Susan Mary Coleman | Occupational Therapist | 800 Middle Road, Colchester, VT 05446 | 2007-04-12 |
| Find all providers in zip 05446 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595358 | Mountain View Aba LLC | Behavioral Analyst | 46 Brooke Ln, Colchester, VT 05446-4200 | 2019-09-03 |
| 1730539859 | Alicia Krol | Behavioral Analyst | 56 Daniel Dr, Colchester, CT 06415-1964 | 2016-06-20 |
| 1902178494 | Michelle Crossway | Behavioral Analyst | 172 Westerly Ter, Colchester, CT 06415-1470 | 2012-01-31 |
| 1326317264 | Janice Fuller | Behavioral Analyst | 159 Waterhole Rd, Colchester, CT 06415-2336 | 2011-12-21 |
| 1770852048 | Tara Murphy | Behavioral Analyst | 8 Birch Cir Apt 1, Colchester, CT 06415-2924 | 2011-12-15 |
| 1003478025 | Mallory Veronica Bauer | Behavioral Analyst | 462 Hegeman Ave, Colchester, VT 05446-3187 | 2019-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245124 | Ashley Ann Smith | Behavioral Analyst | 2542 Vt Route 105, Newport Center, VT 05857-9712 | 2020-11-06 |
| 1174136956 | Ashleigh Moriarty | Behavioral Analyst | 397 Railroad St, St Johnsbury, VT 05819-1739 | 2020-08-31 |
| 1245795038 | Jennifer Woods | Behavioral Analyst | 344 Creamery Rd, South Ryegate, VT 05069-8903 | 2019-02-05 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1003387499 | James Edward Lapaglia | Behavioral Analyst | 94 Bayne Comolli Rd, East Calais, VT 05650-8089 | 2018-12-10 |
| 1295221687 | Arielle Courtney Strickland | Behavioral Analyst | 91 Farmvu Dr, White River Junction, VT 05001 | 2018-07-09 |
| 1053800326 | Christopher Scott Keene | Behavioral Analyst | Keene Perspectives, Pllc, 91 Farmvu Dr, White River Junction, VT 05001-1040 | 2018-05-02 |
| 1942723945 | Bret Kernoff | Behavioral Analyst | 165 Crescent Rd, Burlington, VT 05401-4122 | 2017-07-21 |
| 1487191417 | Keene Perspective, Pllc. | Behavioral Analyst | 11 Richards Rd, White River Junction, VT 05001-9568 | 2017-01-29 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| Find all providers with the same taxonomy | ||||
| City | COLCHESTER |
| Zip Code | 05446 |
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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.