CAROLINE STACK (NPI# 1063970697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063970697 |
| Entity Type | Individual |
| Full Name | CAROLINE STACK |
| Practice Address |
11 Olofson St Braintree MA 02184-8518 |
| Practice Telephone | 7819641532 |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2019-03-02 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DRIVER'S LICENSE | S50508160 | 01 |
| Street Address |
11 OLOFSON ST |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-8518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| 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 |
|---|---|---|---|---|
| 1295222891 | Rachael Elizabeth Llanes | Behavior Technician | 1317 Liberty St, Braintree, MA 02184-8215 | 2018-04-18 |
| 1265943229 | Wenping Zhao | Behavior Technician | 84 Marshall St, Braintree, MA 02184-4138 | 2017-10-17 |
| 1700308947 | Mary Katherine Gawron | Behavior Technician | 78 Linda Rd, Braintree, MA 02184-7716 | 2017-07-10 |
| 1801326772 | Samantha Benoit | Behavior Technician | 639 Granite St # 230, Braintree, MA 02184-5366 | 2017-06-14 |
| 1477169852 | Kaitlin Freyermuth | Behavior Technician | 639 Granite St, Braintree, MA 02184-5366 | 2020-09-21 |
| 1356957120 | Christina Rose Berlen | Behavior Technician | 639 Granite St, Braintree, MA 02184-5366 | 2020-09-17 |
| 1205446606 | Farra Pierre | Behavior Technician | 639 Granite St Ste 230, Braintree, MA 02184-5366 | 2020-07-31 |
| 1225656275 | Marina Saenko | Behavior Technician | 639 Granite St Ste 230, Braintree, MA 02184-5366 | 2020-07-07 |
| 1639795685 | Suzanne Elizabeth Simmons | Behavior Technician | 639 Granite St Ste 230, Braintree, MA 02184-5366 | 2020-06-24 |
| 1538788435 | Kara Arico | Behavior Technician | 639 Granite St, Braintree, MA 02184 | 2020-04-10 |
| Find all providers in BRAINTREE | ||||
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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.