RAVEN-SEYMONE JOHNSON (NPI# 1962927889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962927889 |
| Entity Type | Individual |
| Full Name | RAVEN-SEYMONE JOHNSON |
| Credential | MPH |
| Practice Address |
460 Quincy Ave Quincy MA 02169-8130 |
| Practice Telephone | (617) 847-1950 |
| Practice Fax Number | 6177741490 |
| Mailing Telephone | 6178471950 |
| Mailing Fax Number | 6177741490 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
460 QUINCY AVE |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407884059 | The Commonwealth of Massachusetts | Psychiatric Hospital | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-06-30 |
| 1285235200 | Veneza Monteiro | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-11-05 |
| 1821605429 | Christopher Peter Wallack I | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-09-28 |
| 1689285561 | Angela Wang | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-08-13 |
| 1336767813 | Priscilla Gouldbourne | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-07-10 |
| 1083231351 | Christine Leigh Dipaolo | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-07-02 |
| 1245853860 | Sally Ann Potkay | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-05-19 |
| 1669093456 | Ashley Sullivan | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-05-03 |
| 1003448457 | Tom F Chappuis Jr. | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-02-04 |
| 1528699154 | Theresa Lepore | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1689160319 | Vanessa Monti | Behavioral Analyst | 1266 Furnace Brook Pkwy Ste 410, Quincy, MA 02169-4778 | 2018-07-05 |
| 1598262321 | Esraa M Al-jubory | Behavioral Analyst | 66 Tirrell St Apt 1, Quincy, MA 02171-1661 | 2018-04-09 |
| 1891223400 | Kelle Leigh Schlueter | Behavioral Analyst | 1229 Harrison Plz, Quincy, IL 62305-6106 | 2017-05-25 |
| 1750780755 | Diana S Puerta | Behavioral Analyst | 25 Morton St Apt 210, Quincy, MA 02169 | 2014-08-15 |
| 1457771743 | Jaclyn Farrar | Behavioral Analyst | 76 Macy St, Quincy, MA 02169-3640 | 2014-04-24 |
| 1144509092 | Annie Christian Davis | Behavioral Analyst | 155 Babcock St, Quincy, MA 02169-2941 | 2011-08-10 |
| 1902110448 | Danika Nicole Demarie | Behavioral Analyst | 86 Cranch St, Quincy, MA 02169-1804 | 2010-07-26 |
| 1558969360 | Justin Leboeuf | Behavioral Analyst | 1266 Furnace Brook Pkwy Ste 410, Quincy, MA 02169-4778 | 2020-10-14 |
| 1407386584 | Keyla Joanell Kelley | Behavioral Analyst | 16 Moon Island Rd, Quincy, MA 02171-1034 | 2017-06-12 |
| 1598205759 | Heather Gray | Behavioral Analyst | 500 Victory Rd, Quincy, MA 02171-3139 | 2017-03-07 |
| Find all providers in QUINCY | ||||
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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.