CAROLYN FULKS (NPI# 1053925651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053925651 |
| Entity Type | Individual |
| Full Name | CAROLYN FULKS |
| Practice Address |
2121 7th St Parkersburg WV 26101-3803 |
| Practice Telephone | 3044851721 |
| Practice Fax Number | 3044249424 |
| Mailing Telephone | 3044851721 |
| Mailing Fax Number | 3044249424 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2121 7TH ST |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26101-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118694 | David Nelson Cisler | Social Worker | 2121 7th St, Parkersburg, WV 26101-3803 | 2006-03-17 |
| 1497369607 | Shelly Mize | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-04 |
| 1972117570 | Buffie Durham | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1083228589 | Madonna Murphy | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1215541727 | Melissa Reed | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1841804358 | Ashleigh Sharp | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1639783145 | Lisa Thompson | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1720692320 | Amber Baily | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1770197378 | Judd Fulks | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1124632724 | Rebekah Gandee | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332682 | Tana Shea | Technician | 1906 Camden Ave, Parkersburg, WV 26101 | 2020-10-08 |
| 1386241776 | Karen Sleeth-harrison | Technician | 149 Rolling Hills Ct, Parkersburg, WV 26101 | 2020-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1699230128 | Sarah Marie Hendrix | Nurse Practitioner | 1013 Garfield Avenue, Parkersburg, WV 26101 | 2019-02-08 |
| 1871085787 | Jeffrey G. Minchau, Dds, Ms, Inc. | Dentist | 2601 Dudley Avenue, Bldg. 1, Parkersburg, WV 26101 | 2018-06-06 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1033634282 | Caitlin Elizabeth Lanese | Speech-Language Pathologist | 2010 Garfield Ave Ste 2, Parkersburg, WV 26101 | 2017-08-09 |
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1003342791 | Sue Ellen Kendall | Community Health Worker | 3407 7th Ave, Parkersburg, WV 26101 | 2017-05-02 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| Find all providers in zip 26101 | ||||
| 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 |
|---|---|---|---|---|
| 1497369607 | Shelly Mize | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-04 |
| 1972117570 | Buffie Durham | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1083228589 | Madonna Murphy | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1215541727 | Melissa Reed | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1841804358 | Ashleigh Sharp | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1639783145 | Lisa Thompson | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1720692320 | Amber Baily | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1770197378 | Judd Fulks | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1124632724 | Rebekah Gandee | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1740894245 | John Hickman | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| Find all providers in PARKERSBURG | ||||
| City | PARKERSBURG |
| Zip Code | 26101 |
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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.