ENIQUAH KAHLELAH ETIENNE (NPI# 1043823297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043823297 |
| Entity Type | Individual |
| Full Name | ENIQUAH KAHLELAH ETIENNE |
| Credential | BS |
| Practice Address |
2059 Scenic Hwy N Ste 101 Snellville GA 30078-6141 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 4703279193 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-117906 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2059 SCENIC HWY N STE 101 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824467 | Hopebridge LLC | Behavioral Analyst | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2019-07-30 |
| 1750982765 | Hongduyen Pham | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| 1346841343 | Jessica Jones | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| 1790386795 | Shawna Dowdy | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| 1366043374 | Nichelle Rogers | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| 1982205993 | Alexzandrea Taylor | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| 1043811052 | Maria Lapollo | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| 1265032213 | Erica Rodriguez | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-10-29 |
| 1073120226 | Shavere Junique-diamond Joseph | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-09-30 |
| 1235746256 | Candace Pauline Vereb | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| 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 |
|---|---|---|---|---|
| 1659979482 | Alicia Mohr-kanouff | Behavior Technician | 1888 Harbour Oaks Dr, Snellville, GA 30078-2316 | 2020-10-14 |
| 1689280307 | Christopher Earl Taylor | Behavior Technician | 1515 Timberline Trce, Snellville, GA 30078-6619 | 2020-09-17 |
| 1992329791 | Mechelle M Dixon | Behavior Technician | 2782 Saddle Horn Pl, Snellville, GA 30039-5230 | 2020-06-08 |
| 1487277653 | Tiffany Hattie Powe | Behavior Technician | 3415 Prairie Dr, Snellville, GA 30039-4961 | 2020-05-22 |
| 1821526633 | Jessica Jeannette Acosta | Behavior Technician | 4376 Rebel Ct, Snellville, GA 30039-7374 | 2017-05-24 |
| 1194266726 | Birdie Collymore | Behavior Technician | 4461 Ash Tree St, Snellville, GA 30039-3357 | 2017-03-15 |
| 1750982765 | Hongduyen Pham | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| 1346841343 | Jessica Jones | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| 1790386795 | Shawna Dowdy | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| 1366043374 | Nichelle Rogers | Behavior Technician | 2059 Scenic Hwy N Ste 101, Snellville, GA 30078-6141 | 2020-11-05 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on ENIQUAH KAHLELAH ETIENNE.
| 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.