KOMUL WADWA


Address: 225 Broadhollow Rd Ste 204, Melville, NY 11747-4822
Phone: 6313857780

KOMUL WADWA (NPI# 1952895435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952895435
Entity Type Individual
Full Name KOMUL WADWA
Practice Address 225 Broadhollow Rd Ste 204
Melville
NY 11747-4822
Mailing Address 713 Parkside Blvd
Massapequa
NY 11758-4017
Practice Telephone 6313857780
Practice Fax Number 6313857795
Mailing Telephone 6318828634
Enumeration Date 2018-06-19
Last Update Date 2018-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 225 BROADHOLLOW RD STE 204
City MELVILLE
State NY
Zip Code 11747-4822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902372477 Sara Catalina Simone Case Manager/Care Coordinator 225 Broadhollow Rd Ste 204, Melville, NY 11747-4822 2018-10-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891316139 Shaina Flanzraich Physical Therapist 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 2020-04-28
1952943763 Liana Danielle Maher Behavior Technician 225 Broadhallow Road Suite 402, Melville, NY 11747 2019-10-14
1114402096 Anicka Inez Douglas Behavior Technician 225 Broadhollow Road Suite 402, Melville, NY 11747 2018-09-26
1962988717 Brien Nina-louise Potter Behavior Technician 225 Broadhollow Road, Suite 402, Melville, NY 11747 2018-07-16
1750804951 Iri: Innovative Resources for Independence Intermediate Care Facility, Mentally Retarded 922 Rainbow Commons Ct, Melville, NY 11747 2017-07-19
1386178127 Marissa Zydor Specialist 538 Ny-110 #202, Melville, NY 11747 2017-04-19
1992236624 Annmarie Irene Russo Behavior Technician 538 Ny-110, Suite 202, Melville, NY 11747 2017-03-24
1205378130 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 914 Rainbow Commons, Melville, NY 11747 2016-11-09
1932641867 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 917 Rainbow Commons, Melville, NY 11747 2016-11-09
1740732999 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 924 Rainbow Commons, Melville, NY 11747 2016-11-03
Find all providers in zip 11747

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255966438 Christina Marie Valenti Behavior Technician 225 Broadhollow Rd Ste 40211747, Melville, NY 11747-4822 2020-03-07
1760025126 Christina Middleton Behavior Technician 225 Broadhollow Rd Ste 2, Melville, NY 11747-4822 2019-10-17
1952943763 Liana Danielle Maher Behavior Technician 225 Broadhallow Road Suite 402, Melville, NY 11747 2019-10-14
1497211668 Samantha Sellick Behavior Technician 225 Broadhollow Rd Ste 102, Melville, NY 11747-4807 2019-02-13
1679041370 Cassandra Leighann Mendoza Behavior Technician 225 Broadhollow Rd Ste 42, Melville, NY 11747-4822 2018-11-12
1114402096 Anicka Inez Douglas Behavior Technician 225 Broadhollow Road Suite 402, Melville, NY 11747 2018-09-26
1043793078 Goucem Abrik Behavior Technician 225 Broadhollow Rd Ste 40, Melville, NY 11747-4822 2018-09-14
1306329172 Sabrina Green Behavior Technician 225 Broadhollow Rd Ste Melville, Melville, NY 11747-4822 2018-09-07
1962988717 Brien Nina-louise Potter Behavior Technician 225 Broadhollow Road, Suite 402, Melville, NY 11747 2018-07-16
1992236624 Annmarie Irene Russo Behavior Technician 538 Ny-110, Suite 202, Melville, NY 11747 2017-03-24
Find all providers in MELVILLE

Competitor

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City MELVILLE
Zip Code 11747

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Dataset Information

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.

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