MARQUITA MELISSA CUNNINGHAM (NPI# 1003460395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003460395 |
| Entity Type | Individual |
| Full Name | MARQUITA MELISSA CUNNINGHAM |
| Practice Address |
1003 Hugh Wallis Rd S Lafayette LA 70508-2528 |
| Mailing Address |
4700 Wichers Dr Ste 105 Marrero LA 70072-3054 |
| Practice Telephone | 3372054444 |
| Mailing Telephone | 5043837448 |
| Mailing Fax Number | 5043837448 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 Wichers Dr Ste 105, Marrero, LA 700723054 | 5043837448 | 5043837448 |
| Street Address |
1003 HUGH WALLIS RD S |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073879649 | Mark Jude Stanford | Social Worker | 1003 Hugh Wallis Rd S, C-6, Lafayette, LA 70508-2528 | 2012-04-07 |
| 1528674124 | Eric Paul Baquet | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2020-09-18 |
| 1407481351 | Sophie Doucet | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2020-03-10 |
| 1679131676 | Kimberly E Gordon | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2019-06-04 |
| 1467010652 | Starlea Marie Biggs | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2019-06-03 |
| 1376101568 | Cornell Lamont Thorn Jr. | Behavior Technician | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2019-06-03 |
| 1245707249 | Samantha Faye Rushlow | Behavior Technician | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2018-10-28 |
| 1710468467 | Marissa Winters | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2018-08-21 |
| 1013494715 | Ciasha Marie Roberts | Behavior Technician | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2018-07-25 |
| 1356833180 | Ebony Alexander | Behavior Technician | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2018-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| 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 |
|---|---|---|---|---|
| 1760017982 | Marissa Ann Alcala | Behavior Technician | 300 Mcdonald St Apt 15x, Lafayette, LA 70506-8232 | 2020-03-09 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1386206761 | Britny Moore | Behavior Technician | 3650 Mt Diablo Blvd Ste 107l, Lafayette, CA 94549-3780 | 2019-07-05 |
| 1114583739 | Keenon Jarell Leblanc | Behavior Technician | 603 W Gloria Switch Rd, Lafayette, LA 70507-2315 | 2019-05-20 |
| 1699331900 | Sarah Nicole Daigle | Behavior Technician | 100 Rue Le Bois, Lafayette, LA 70508-4332 | 2019-05-13 |
| 1518427525 | Mariam Abdo-pitre | Behavior Technician | 1103 Hugh Wallis Rd S Ste B-2, Lafayette, LA 70508-2515 | 2019-03-25 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| Find all providers in LAFAYETTE | ||||
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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.