MARK WILKERSON (NPI# 1083258107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083258107 |
| Entity Type | Individual |
| Full Name | MARK WILKERSON |
| Practice Address |
6252 Deep Earth Ln Columbia MD 21045-2565 |
| Practice Telephone | 2155206774 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MD | Behavioral Health & Social Service Providers | |
| N | 103TS0200X |
Psychologist Specialization: School |
MD | Behavioral Health & Social Service Providers | |
| Y | 103K00000X | Behavioral Analyst | LBA710 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232231 | Mark Andrew Wilkerson | Counselor | 446 N Westhill Blvd Ste 6, Appleton, WI 54914-6533 | 2019-08-28 |
| 1477641108 | Mark Howard Wilkerson | Ophthalmology | 400 S Loop 336 W, Conroe, TX 77304-3302 | 2006-10-10 |
| 1023114287 | Mark D. Wilkerson | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-09-15 |
| Street Address |
6252 DEEP EARTH LN |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| 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 |
|---|---|---|---|---|
| 1386241750 | Alexander R Arevalo | Behavioral Analyst | 8558 Black Star Cir, Columbia, MD 21045-2649 | 2020-10-07 |
| 1508481839 | Laura Crisan | Behavioral Analyst | 109 Preserve Ln, Columbia, SC 29209-1231 | 2020-06-12 |
| 1699399089 | Sabrena Samuel | Behavioral Analyst | 7106 Balmy Dew Way, Columbia, MD 21046-1615 | 2020-06-02 |
| 1720600661 | Risley Linder Jr. | Behavioral Analyst | 2003 Greene St Apt 105, Columbia, SC 29205-1638 | 2020-05-14 |
| 1578106316 | Erin Elisabeth Kendall | Behavioral Analyst | 2108 Greene St # 5495, Columbia, SC 29205-1641 | 2019-10-24 |
| 1497300024 | Penny Ligon | Behavioral Analyst | 1320 Main St Ste 300/butterflyeffects, Columbia, SC 29201-3266 | 2019-08-09 |
| 1437627197 | One Piece At A Time | Behavioral Analyst | 105 Londonberry Cir, Columbia, SC 29210-6058 | 2018-11-10 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1215413141 | Nelungwe Chuunga Darby | Behavioral Analyst | 3209 Crawford St, Columbia, MO 65203-2925 | 2018-07-13 |
| 1386136273 | Jessica Morant | Behavioral Analyst | 811 Polo Rd Apt 1428, Columbia, SC 29223-4429 | 2018-06-05 |
| Find all providers in COLUMBIA | ||||
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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.