JAYME SUE ADDERHOLT (NPI# 1174181952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174181952 |
| Entity Type | Individual |
| Full Name | JAYME SUE ADDERHOLT |
| Credential | BCABA |
| Practice Address |
2846 N Garland Ave Fayetteville AR 72704-2164 |
| Practice Telephone | 5016209482 |
| Mailing Telephone | 5016209482 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-18-8737 | AR | Behavioral Health & Social Service Providers |
| Street Address |
2846 N GARLAND AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548780471 | Brandon Sikes | Behavioral Analyst | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2017-06-21 |
| 1720689615 | Luz Maria Delpilar-ruiz | Behavior Technician | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2020-11-05 |
| 1609476126 | Paige Worthington | Behavior Technician | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2020-10-26 |
| 1811504244 | Rebecca Elisa Traynor | Behavior Technician | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2020-09-29 |
| 1821605882 | Maebrie Erin Cruce | Behavior Technician | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2020-09-24 |
| 1942818166 | Hannah Grace Hornbeck | Behavior Technician | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2020-07-14 |
| 1649896655 | Samantha Elizabeth Hoskovec | Behavior Technician | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2020-06-25 |
| 1265057566 | Katherine Ann Jones | Behavior Technician | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2020-06-11 |
| 1831712579 | Elizabeth Kay Dickson | Behavior Technician | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2020-05-27 |
| 1245850841 | David Ray Swire | Behavioral Analyst | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1407364573 | Leighanna Holloman | Assistant Behavior Analyst | 568 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2018-01-11 |
| 1447796990 | Miriam Joe Osei | Assistant Behavior Analyst | 6976 Timberwood Dr, Fayetteville, NC 28314-1610 | 2017-01-09 |
| 1861047987 | Alysia Sheri Sanders | Assistant Behavior Analyst | 269 Westlake Rd Ste 201, Fayetteville, NC 28314-4868 | 2019-08-06 |
| 1023513801 | Amber Lydon | Assistant Behavior Analyst | 269 Westlake Rd Ste 201, Fayetteville, NC 28314-4868 | 2018-03-26 |
| 1265940332 | Teena S Nobles | Assistant Behavior Analyst | 568 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2018-01-11 |
| 1952826521 | Meghan E Waits | Assistant Behavior Analyst | 5617 Ramsey St, Fayetteville, NC 28311-1423 | 2017-08-04 |
| 1710409164 | Caitlin Moulton | Assistant Behavior Analyst | 3649 Cape Center Dr, Fayetteville, NC 28304-4457 | 2017-07-07 |
| 1508388950 | Ashley Fernandez | Assistant Behavior Analyst | 3649 Cape Center Dr, Fayetteville, NC 28304-4457 | 2017-07-07 |
| 1063956514 | Maria Anali Casarrubiasramirez | Assistant Behavior Analyst | 3649 Cape Center Dr, Fayetteville, NC 28304-4457 | 2016-12-16 |
| 1942751979 | Autism Therapeutic Services | Assistant Behavior Analyst | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2016-10-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
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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.