CHANDLER BROCK (NPI# 1063072239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063072239 |
| Entity Type | Individual |
| Full Name | CHANDLER BROCK |
| Practice Address |
1450 54th St Ste C Columbus GA 31904-4494 |
| Mailing Address |
10175 Fortune Pkwy Unit 903 Jacksonville FL 32256-6755 |
| Practice Telephone | 7062211208 |
| Practice Fax Number | 9045380713 |
| Mailing Telephone | 9045380713 |
| Mailing Fax Number | 9045380714 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-38576 | AL | Behavioral Health & Social Service Providers |
| Street Address |
1450 54TH ST STE C |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-4494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841653227 | Daniella Castro | Behavioral Analyst | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2016-04-01 |
| 1003442484 | Angelique Jones | Behavioral Analyst | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2020-03-18 |
| 1548823941 | Elizabeth Bacia | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2019-04-22 |
| 1326504879 | Tania Roman | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2019-02-20 |
| 1518423987 | Tricia Decker | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2019-02-11 |
| 1215401724 | Moriah Willis | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2019-01-17 |
| 1235600396 | Nalice Moore | Behavioral Analyst | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2018-12-16 |
| 1306327150 | Caitlyn Taylor | Behavioral Analyst | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2018-08-28 |
| 1023599966 | Nicole Lee | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2018-08-28 |
| 1205315587 | Maria Ruhstorfer | Behavior Technician | 1450 54th St Ste C, Columbus, GA 31904-4494 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316391 | Pamela Inez Allin | Behavioral Analyst | 3153 Framingham Cir, Columbus, OH 43224-5704 | 2019-03-25 |
| 1285190546 | Jenna E Haffenden | Behavioral Analyst | 215 E Jeffrey Pl, Columbus, OH 43214-1705 | 2019-02-12 |
| 1538633250 | Yan Li | Behavioral Analyst | 3070 Riverside Dr # 113, Columbus, OH 43221-2547 | 2019-01-15 |
| 1851861611 | Corey M Stevenson | Behavioral Analyst | 3201 1st Ave Apt B102, Columbus, GA 31904-7591 | 2018-12-04 |
| 1194216721 | Center of Applied Solutions | Behavioral Analyst | 5406 Roaring Branch Rd, Columbus, GA 31904-2828 | 2018-05-18 |
| 1508376047 | Brandalyn M New | Behavioral Analyst | 6900 Schomburg Rd Apt 601, Columbus, GA 31909-1516 | 2017-10-11 |
| 1336658541 | Holley Mcallister | Behavioral Analyst | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2017-09-20 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1982141263 | Shelley Walls | Behavioral Analyst | 5900 River Rd Ste 401, Columbus, GA 31904-4578 | 2017-01-25 |
| 1396294989 | Angelyn Rhames Harrell | Behavioral Analyst | 1445 Briarwood Ave, Columbus, GA 31906-2656 | 2016-09-24 |
| Find all providers in COLUMBUS | ||||
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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.