DETERRENCE DEON ALLEN (NPI# 1205336930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205336930 |
| Entity Type | Individual |
| Full Name | DETERRENCE DEON ALLEN |
| Credential | M.ED, BCBA, LBA |
| Practice Address |
7105 Swinnea Rd Ste 2 Southaven MS 38671-6012 |
| Mailing Address |
965 Church Ln Apt 1d Southaven MS 38671-8576 |
| Practice Telephone | 6622538031 |
| Practice Fax Number | 6624704034 |
| Mailing Telephone | 3345246785 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 180045 | MS | Behavioral Health & Social Service Providers |
| Street Address |
7105 SWINNEA RD STE 2 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| 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 |
|---|---|---|---|---|
| 1134697790 | Donna Satterlee Ross | Behavioral Analyst | 5779 Getwell Rd # 3, Southaven, MS 38672-6347 | 2018-11-12 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1134501364 | Mississippi Behavior Services | Behavioral Analyst | 7105 Swinnea Rd, Suite Number 2, Southaven, MS 38671-6012 | 2015-06-24 |
| 1386911105 | Vargas L Clark | Behavioral Analyst | 4813 Thornbury Cv, Southaven, MS 38672-9591 | 2011-11-22 |
| 1134439102 | Helping Hands Learning Academy, Inc | Behavioral Analyst | 7701 Highway 51 N, Southaven, MS 38671-5203 | 2010-10-08 |
| 1336471291 | Cassandra Renae Williams-sisk | Behavioral Analyst | 5706 Hunters Chase Dr, Southaven, MS 38672-6540 | 2010-02-03 |
| 1972830875 | Demetric L Poke | Behavioral Analyst | 7295 Fox Trace Cv, Southaven, MS 38671-8734 | 2009-11-12 |
| 1336621200 | Kayla Rea Grimmett | Behavioral Analyst | 5779 Getwell Rd Bldg D3, Southaven, MS 38672-6351 | 2018-09-06 |
| 1629452461 | Jennifer Wyatt | Behavioral Analyst | 6858 Swinnea Rd, 4 Rutland Place, Southaven, MS 38671-9493 | 2015-07-10 |
| 1558765271 | Mary Margaret Little | Behavioral Analyst | 7160 Tchulahoma Rd, Bldg. B Ste.4, Southaven, MS 38671-9266 | 2014-10-09 |
| Find all providers in SOUTHAVEN | ||||
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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.