ZACHARY FLYNN-TANNER (NPI# 1114400041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114400041 |
| Entity Type | Individual |
| Full Name | ZACHARY FLYNN-TANNER |
| Practice Address |
5400 Shawnee Rd Alexandria VA 22312-2300 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 8553452273 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| 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 |
5400 SHAWNEE RD |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22312-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003831587 | Alexandria Sports, Inc. | Clinic/Center | 5400 Shawnee Rd, Suite 104, Alexandria, VA 22312-2300 | 2006-07-13 |
| 1285264119 | Faith Eileen Camardo | Behavior Technician | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2020-01-20 |
| 1487293833 | Brytani C Sumby | Behavioral Analyst | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2020-01-02 |
| 1659916831 | Ashley Norman | Assistant Behavior Analyst | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2019-11-12 |
| 1235773797 | Melina Ariel Gray | Behavior Technician | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2019-10-28 |
| 1164071528 | Priyanka Khanal | Behavioral Analyst | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2019-09-09 |
| 1356994602 | Rudis Sierra | Behavior Technician | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2019-07-16 |
| 1437638608 | Sarah Christine Ostertag | Behavioral Analyst | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2018-08-08 |
| 1447749379 | Jessica Karazsia | Behavior Technician | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2018-05-07 |
| 1184120131 | Angela Lomax | Behavior Technician | 5400 Shawnee Rd, Alexandria, VA 22312-2300 | 2018-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710429 | Lake Barcroft Dental Group, PC | Dentist | 6464 A1 Lincolnia Rd, Alexandria, VA 22312 | 2019-10-02 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1285081984 | Nicole Heidbreder Lehr | Behavioral Analyst | 5400 Shawnee Rd Ste 208, Alexandria, VA 22312 | 2016-05-23 |
| 1922486372 | Fassity Home Care LLC | Home Health | 6601 Little River Turn Pike, Suit 210, Alexandria, VA 22312 | 2015-05-18 |
| 1730582107 | Prospect Homecare Agency | Home Health | 5568 General Washington Drive, Suite A 203, Alexandria, VA 22312 | 2014-09-30 |
| 1396926952 | Fairfax Home Health Care, Inc. | Home Health | 4810 Beauregard Street, Suite G4, Alexandria, VA 22312 | 2007-11-23 |
| 1114047768 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-03-29 |
| 1548339682 | Virginia Pathology Svcs PC | Pathology | 6121 Lincolnia Rd, Suite 108, Alexandria, VA 22312 | 2006-11-06 |
| 1336150531 | Joel Carlton Goldstein | Dentist | 4605 B Pinecrest Office Park Dr, Alexandria, VA 22312 | 2006-08-11 |
| 1619915923 | Jong K Lee | Family Medicine | 4605 A Pinecrest Office, Alexandria, VA 22312 | 2006-06-02 |
| Find all providers in zip 22312 | ||||
| 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 |
|---|---|---|---|---|
| 1447865696 | Aminata Banya Koroma | Behavior Technician | 6180 Grovedale Ct Ste 2006180, Alexandria, VA 22310-2552 | 2020-09-14 |
| 1073145157 | Stephanie Etienne | Behavior Technician | 2201 Mill Rd Apt 219, Alexandria, VA 22314-5312 | 2020-02-06 |
| 1235761487 | Mironda Shepard | Behavior Technician | 2475 Windbreak Dr, Alexandria, VA 22306-2662 | 2020-02-05 |
| 1699310094 | Abigail Chavez | Behavior Technician | 4850 Eisenhower Ave Unit 329, Alexandria, VA 22304-7325 | 2019-11-10 |
| 1295389732 | Katarzyna Piwek | Behavior Technician | 6281 Franconia Road, Suite B, Alexandria, VA 22310 | 2019-08-01 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1225699960 | Andrea Rivero | Behavior Technician | 3710 Towanda Rd, Alexandria, VA 22303-1039 | 2019-06-24 |
| 1831657543 | Gaby D. Arauco | Behavior Technician | 318 Montgomery St, Alexandria, VA 22314-1516 | 2019-03-12 |
| 1205393170 | Cinthya Beltran Calero | Behavior Technician | 701 N Paxton St, Alexandria, VA 22304-2737 | 2019-02-26 |
| 1023581469 | Zuzel Peraza | Behavior Technician | 4373 Raleigh Ave Apt 304, Alexandria, VA 22304-5353 | 2019-01-08 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22312 |
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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.