MARLENE ROBERTSON (NPI# 1215576855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215576855 |
| Entity Type | Individual |
| Full Name | MARLENE ROBERTSON |
| Practice Address |
15501 Weston Pkwy Ste 130 Cary NC 27513-8641 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 9197490746 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| 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 |
| Street Address |
15501 WESTON PKWY STE 130 |
| City | CARY |
| State | NC |
| Zip Code | 27513-8641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710549050 | Lillye Buckans | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2019-07-08 |
| 1356941579 | Taniya Monique Scott - Mcfadden | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-10-27 |
| 1073113411 | Nadiyah Barrow | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-10-26 |
| 1740889740 | Evelis Perez | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-10-21 |
| 1518566447 | Fernanda Monteiro Chaves De Andrade | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-10-21 |
| 1679172761 | Christina Radosta | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-10-20 |
| 1154929321 | Dominique Chanel Brown | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-10-11 |
| 1396352654 | Donna L Price | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-09-29 |
| 1588271050 | Jazmin Laus | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-09-28 |
| 1629684287 | Nyaa Vincent | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| 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 |
|---|---|---|---|---|
| 1457984593 | Chelsea Carre | Behavior Technician | 207 Trackers Rd, Cary, NC 27513-4846 | 2020-02-18 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1417597881 | Jasmine T Johnson | Behavior Technician | 15501 Weston Pkwy Ste 301, Cary, NC 27513-8636 | 2020-01-13 |
| 1609421882 | Eliza Stanton Poe | Behavior Technician | 15501 Weston Pkwy, Cary, NC 27513-8636 | 2019-08-05 |
| 1710549050 | Lillye Buckans | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2019-07-08 |
| 1982167078 | Dana Washington | Behavior Technician | 956 W Chatham St Ste 100, Cary, NC 27511-3169 | 2019-04-07 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1659866770 | Yvonne Cavanaugh | Behavior Technician | 209 Mildred Ave, Cary, IL 60013-2917 | 2018-07-01 |
| 1720503105 | Emily Grom | Behavior Technician | 111 Mackenan Drive, Cary, NC 27511-7903 | 2017-08-07 |
| 1225559248 | Britnique Hodge | Behavior Technician | 203 Gregson Drive, Cary, NC 27511 | 2017-06-29 |
| Find all providers in CARY | ||||
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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.