NOVA HEALTH AND WELLNESS LLC (NPI# 1972146223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972146223 |
| Entity Type | Organization |
| Organization Name | NOVA HEALTH AND WELLNESS LLC |
| Practice Address |
13305 Old Barn Ct Midlothian VA 23112-4874 |
| Practice Telephone | 8046010042 |
| Practice Fax Number | 8047061640 |
| Mailing Telephone | 8046010042 |
| Mailing Fax Number | 8047061640 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | KHIDHRA S POOLE (CEO) |
| Authorized Official Telephone | 8046010042 |
| Authorized Official Credential | DSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | NOVA Health and Wellness LLC | 4206 Hiddenwell Lane, Chester, Virginia 23831 |
| Street Address |
13305 OLD BARN CT |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659719656 | Salimah's House Inc | Social Worker | 13305 Old Barn Ct, Midlothian, VA 23112-4874 | 2013-06-12 |
| 1861844946 | Therapeutic Interactive Educational Services of Virginia Inc | Community/Behavioral Health | 13305 Old Barn Ct, Midlothian, VA 23112-4874 | 2016-07-12 |
| 1134540594 | Salimahs House Inc | Community/Behavioral Health | 13305 Old Barn Ct, Midlothian, VA 23112-4874 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1912512286 | Brittany Nicole Taylor | Assistant Behavior Analyst | 2820 Waterford Lake Dr Ste 102, Midlothian, VA 23112-3994 | 2020-09-13 |
| 1265044929 | Courtney Proffitt | Assistant Behavior Analyst | 2820 Waterford Lake Dr, Midlothian, VA 23112-3994 | 2020-08-23 |
| 1912474925 | Shayla Garcia | Assistant Behavior Analyst | 5950 Harbour Park Dr, Midlothian, VA 23112-2163 | 2018-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170064 | Yuly Angelica Willard | Assistant Behavior Analyst | 300 Arboretum Pl, Suite 500, Richmond, VA 23236 | 2020-09-28 |
| 1730707340 | Indara Carroll | Assistant Behavior Analyst | 817 Castile Pl, Henrico, VA 23238-5534 | 2020-07-09 |
| 1912523747 | Ariel Nickole Weddle | Assistant Behavior Analyst | 1525 Technology Dr, Chesapeake, VA 23320-5974 | 2020-06-17 |
| 1225663701 | Brittany Kersey-adams | Assistant Behavior Analyst | 1329 Alum Spring Rd, Fredericksburg, VA 22401-8011 | 2020-03-05 |
| 1386299071 | Converge Behavioral Services, LLC | Assistant Behavior Analyst | 11507 Hearthstone Ct, Reston, VA 20191-4403 | 2019-08-08 |
| 1609437078 | Robert Brainard James Jr. | Assistant Behavior Analyst | 21786 Green Stable Sq Apt 212, Ashburn, VA 20147-6777 | 2019-06-26 |
| 1932763117 | Huafeng Wang | Assistant Behavior Analyst | 10135 Yorktown Dr, Great Falls, VA 22066-4208 | 2019-04-23 |
| 1285192195 | Alliance Aba, LLC | Assistant Behavior Analyst | 3330 Bourbon St Ste 126, Fredericksburg, VA 22408-7334 | 2019-03-10 |
| 1720543085 | Rolando A Zelada I | Assistant Behavior Analyst | 406 N Argonne Ave, Sterling, VA 20164-3003 | 2019-01-31 |
| 1659841831 | Impact Behavior Centers LLC | Assistant Behavior Analyst | 108 W Greenway Blvd, Falls Church, VA 22046-4005 | 2018-11-29 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
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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.