MS. STEPHANIE HODGE (NPI# 1043681562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043681562 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE HODGE |
| Practice Address |
6650 Rivers Ave Ste 100 North Charleston SC 29406-4809 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Bch FL 33441-1817 |
| Practice Telephone | 9546037885 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2018-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 106S00000X | Behavior Technician | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083151765 | Stephanie Hodge | Behavior Technician | 7226 Sepulveda Blvd, Van Nuys, CA 91405-2003 | 2017-01-19 |
| 1639292618 | Stephanie Hodge | Case Manager/Care Coordinator | 850 E Foothill Blvd, Rialto, CA 92376 | 2007-04-06 |
| Street Address |
6650 RIVERS AVE STE 100 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174990436 | Kimberly Shappell | Developmental Therapist | 6650 Rivers Ave Ste 100, North Charleston, SC 29406-4809 | 2015-08-21 |
| 1063056828 | Full Spectrum Aba of South Carolina LLC | Assistant Behavior Analyst | 6650 Rivers Ave Ste 100, North Charleston, SC 29406-4809 | 2019-11-04 |
| 1760843445 | Andrew Lorick | Developmental Therapist | 6650 Rivers Ave Ste 100, North Charleston, SC 29406-4809 | 2016-03-09 |
| 1184080954 | Shaunda Nicolle Mcclanahan | Developmental Therapist | 6650 Rivers Ave Ste 100, North Charleston, SC 29406-4809 | 2016-01-11 |
| 1225493661 | Luenetta Annette Grayson | Behavioral Analyst | 6650 Rivers Ave Ste 100, North Charleston, SC 29406-4809 | 2015-12-30 |
| 1003281247 | Kacey Butler Sweatt | Developmental Therapist | 6650 Rivers Ave Ste 100, North Charleston, SC 29406-4809 | 2015-12-12 |
| 1306216577 | Lea Kenice Sandiford | Developmental Therapist | 6650 Rivers Ave Ste 100, North Charleston, SC 29406-4809 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| 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 |
|---|---|---|---|---|
| 1487263836 | Lyndsay Morgan Hall | Behavior Technician | 4993 Ohear Ave Apt 5107, North Charleston, SC 29405-5026 | 2020-07-30 |
| 1750981031 | Christina M Allen | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-10-27 |
| 1164021291 | Sierra L Mansfield | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-10-20 |
| 1972112324 | Octavia Vadan | Behavior Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2020-07-30 |
| 1972112126 | Caroline E Border | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-07-23 |
| 1669080792 | Megan R Peterson | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-07-15 |
| 1952927568 | Tamarra L Goodwin | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-06-19 |
| 1841816410 | Allison M Pennington | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-06-19 |
| 1710503396 | Tatiana A Schmitt | Behavior Technician | 8620 Refuge Point Cir, North Charleston, SC 29420-6879 | 2020-06-19 |
| 1720600828 | Daniela Delgado | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-05-12 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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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.