DUSTIN RYAN HART (NPI# 1972140655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972140655 |
| Entity Type | Individual |
| Full Name | DUSTIN RYAN HART |
| Practice Address |
2236 Bemiss Rd Valdosta GA 31602-1942 |
| Practice Telephone | 2294749800 |
| Mailing Telephone | 2294749800 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-62485 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316300270 | Dustin Hart | Counselor | 120 N Crawford St, Thomasville, GA 31792-5121 | 2016-03-29 |
| 1164907259 | Dustin James Hart | Behavior Technician | 1633 Old Bayshore Hwy Ste 155, Burlingame, CA 94010-1515 | 2018-09-25 |
| Street Address |
2236 BEMISS RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689981953 | Barthelemy's Optical LLP | Optometrist | 2236 Bemiss Rd, Suite A, Valdosta, GA 31602-1942 | 2010-09-08 |
| 1821633801 | Cassandra Shanae Mcbride | Behavior Technician | 2236 Bemiss Rd, Valdosta, GA 31602-1942 | 2019-11-13 |
| 1093379786 | Katharine Susan Adams | Counselor | 2236 Bemiss Rd, Valdosta, GA 31602-1942 | 2019-04-28 |
| 1790240984 | Jennifer Michelle Branscome | Psychologist | 2236 Bemiss Rd, Valdosta, GA 31602-1942 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1740706332 | Jessica Doran | Behavior Technician | 5921 Bemiss Rd, Valdosta, GA 31605-7520 | 2017-08-16 |
| 1962017848 | Katherine Melinda Robison | Behavior Technician | 5921 Bemiss Rd, Valdosta, GA 31605-7520 | 2020-09-09 |
| 1871114173 | Caroline Payne | Behavior Technician | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2020-04-28 |
| 1669009296 | Amber Nicole Hiers | Behavior Technician | 809 N Patterson St, Valdosta, GA 31601-4528 | 2020-03-24 |
| 1821633801 | Cassandra Shanae Mcbride | Behavior Technician | 2236 Bemiss Rd, Valdosta, GA 31602-1942 | 2019-11-13 |
| 1245885243 | Anna Louise Gray | Behavior Technician | 2225 Bemiss Rd Ste D, Valdosta, GA 31602-4819 | 2019-08-06 |
| 1538626536 | Leisha Brogdon | Behavior Technician | 5921 Bemiss Rd, Valdosta, GA 31605-7520 | 2019-02-26 |
| 1376034389 | Katrina Poe | Behavior Technician | 5921 Bemiss Rd, Valdosta, GA 31605-7520 | 2018-05-24 |
| 1083130686 | Jacqueline Triece | Behavior Technician | 5921 Bemiss Rd, Valdosta, GA 31605-7520 | 2017-08-16 |
| Find all providers in VALDOSTA | ||||
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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.