SANDRA PUCKETT (NPI# 1033683867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033683867 |
| Entity Type | Individual |
| Full Name | SANDRA PUCKETT |
| Practice Address |
1001 W 9th Ave Ste C King of Prussia PA 19406-1209 |
| Mailing Address |
1321 Murfreesboro Pike Ste 702 Nashville TN 37217-2679 |
| Practice Telephone | 6108311865 |
| Practice Fax Number | 6155775654 |
| Mailing Fax Number | 6155775654 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | RBT-17-39309 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245381631 | Sandra K Puckett | Chiropractor | 40135 Sterling Hwy, Soldotna, AK 99669-8507 | 2007-01-15 |
| 1275801698 | Sandra Z Puckett | Counselor | 1414 E Broad St, Columbus, OH 43205-1505 | 2011-12-13 |
| Street Address |
1001 W 9TH AVE STE C |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649608753 | Education Alternatives for Aba, LLC | Early Intervention Provider Agency | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2013-10-29 |
| 1801496922 | Racheal S Wright | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-10-28 |
| 1104431089 | Tara Misher | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-09-09 |
| 1639780513 | Shannon M Forbes | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-08-13 |
| 1902417025 | Barbara Y Dennis | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-08-12 |
| 1770103038 | Nicole Sundo | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-04-16 |
| 1730715533 | Courtney Purdy | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-03-13 |
| 1609400043 | Tyler Bullock-ballinger | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-02-25 |
| 1124659644 | Allison Maier | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-02-03 |
| 1316587389 | Jennifer Lorenzo | Behavior Technician | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2020-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| 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 |
|---|---|---|---|---|
| 1871152850 | Patricia Lawler-hardy | Assistant Behavior Analyst | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2019-06-12 |
| 1730653668 | Mary Debevoise | Assistant Behavior Analyst | 1001 W 9th Ave Ste C, King of Prussia, PA 19406-1209 | 2019-01-14 |
| 1831689298 | Jamie Larson | Assistant Behavior Analyst | 1001 W 9th Ave Ste Bandc, King of Prussia, PA 19406-1209 | 2018-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822125 | Dayona Ellis | Assistant Behavior Analyst | 336 Locust St, Columbia, PA 17512-1121 | 2020-08-19 |
| 1952932733 | Bti Center Services LLC | Assistant Behavior Analyst | 2225 Sycamore St #1002, Harrisburg, PA 17111-1026 | 2020-01-30 |
| 1346871126 | Bti School Services LLC | Assistant Behavior Analyst | 2225 Sycamore St. #1003, Harrisburg, PA 17111-1026 | 2020-01-30 |
| 1548722788 | Laina Stricker | Assistant Behavior Analyst | 404 Harbour Ridge Ln, Downingtown, PA 19335-4532 | 2019-04-05 |
| 1689156739 | Elizabeth Mary Stawarz | Assistant Behavior Analyst | 1323 Spiess Ln, Warminster, PA 18974-1820 | 2018-09-05 |
| 1871018416 | Jennifer Sorrento | Assistant Behavior Analyst | 5035 Hawthorne St, Philadelphia, PA 19124-1340 | 2017-08-04 |
| 1467985358 | Kristian Johnson | Assistant Behavior Analyst | 223 Blanchard Rd, Drexel Hill, PA 19026-2821 | 2017-04-06 |
| 1730622010 | Dana Joyce Morgan-buck | Assistant Behavior Analyst | 881 Macron Blvd, Suite 3900, Allentown, PA 18109 | 2016-11-18 |
| 1891244851 | Candice Jackson | Assistant Behavior Analyst | 1222 Powell St, B, Norristown, PA 19401-3345 | 2016-09-30 |
| 1871128850 | Elevated Kids | Assistant Behavior Analyst | 1010 N Hancock St, Philadelphia, PA 19123-2334 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
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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.