MARY HICKMAN (NPI# 1164075586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164075586 |
Entity Type | Individual |
Full Name | MARY HICKMAN |
Practice Address |
111 Currituck Commerical Dr Ste A1 Moyock NC 27958-9086 |
Practice Telephone | 2524351665 |
Mailing Telephone | 2524351665 |
Enumeration Date | 2019-07-24 |
Last Update Date | 2019-07-24 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295332021 | Mary Ann Hickman | Technician | 144 Lincoln Street, Williamson, WV 25661 | 2020-10-05 |
1922659671 | Mary Hickman | Genetic Counselor, MS | 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 | 2019-09-24 |
1255700621 | Mary Theresa Hickman | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2015-09-16 |
Street Address |
111 CURRITUCK COMMERICAL DR STE A1 |
City | MOYOCK |
State | NC |
Zip Code | 27958-9086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245720804 | Meaghan Barry | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2018-05-18 |
1568063824 | Brittany Johnston | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-11-03 |
1184224891 | Daralene Malone | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-10-30 |
1043810765 | Megan Albert | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-10-30 |
1982204608 | Macy Gregory | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-10-30 |
1750981460 | Denise Lesko | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-10-30 |
1518573740 | Tiffany Tanner | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-09-22 |
1245841188 | Breanna Soto | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-08-13 |
1255942108 | Allison Magno | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-08-13 |
1457969891 | Cassy Mayo | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891349346 | Toi L Graham | Marriage & Family Therapist | 380 Caratoke Hwy Suite J, Moyock, NC 27958 | 2019-08-01 |
1841317963 | Coastal Rehabilitation Inc | Physical Therapist | 532c Caratoke Highway, Moyock, NC 27958 | 2007-03-23 |
1144377227 | Donald Dean Dowdy Jr. | Physical Therapist | 532 C Caratoke Highway, Moyock, NC 27958 | 2007-01-04 |
1154428092 | Corolla Pharmacy Inc | Pharmacy | 532 A Caratoke Hwy, Moyock, NC 27958 | 2006-09-20 |
1174929095 | Carly Jean Gray | Physician Assistant | 534 Caratoke Hwy, Moyock, NC 27958 | 2014-11-05 |
1619396470 | Nitish Jasmine Manning | Family Medicine | 534 Caratoke Hwy, Moyock, NC 27958 | 2014-04-09 |
1083945257 | Allison Ruth Williams | Physician Assistant | 534 Caratoke Hwy, Moyock, NC 27958 | 2010-01-27 |
1588769525 | Forrest P Old Jr. | Internal Medicine | 534 Caratoke Hwy, Moyock, NC 27958 | 2006-09-14 |
1689756124 | Dennis Gaskin | Dentist | 107 Lazy Corner Rd, Moyock, NC 27958-0356 | 2006-10-20 |
1942849864 | Stacy M Rush | Counselor | 120 Cypress Landing Dr, Moyock, NC 27958-2500 | 2019-12-23 |
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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 |
---|---|---|---|---|
1578120283 | Nikita Crawford | Behavior Technician | 111 Currituck Comrcl Dr Ste A1, Moyock, NC 27958-9086 | 2019-05-29 |
1245720804 | Meaghan Barry | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2018-05-18 |
1568063824 | Brittany Johnston | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-11-03 |
1184224891 | Daralene Malone | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-10-30 |
1043810765 | Megan Albert | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-10-30 |
1982204608 | Macy Gregory | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-10-30 |
1750981460 | Denise Lesko | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-10-30 |
1306444112 | Latisha M. Overton | Behavior Technician | 108 Rocky Top Rd, Moyock, NC 27958-9284 | 2020-10-14 |
1518573740 | Tiffany Tanner | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-09-22 |
1245841188 | Breanna Soto | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2020-08-13 |
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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.