NICHOLAS MAKOGONOV (NPI# 1225638398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225638398 |
| Entity Type | Individual |
| Full Name | NICHOLAS MAKOGONOV |
| Practice Address |
4 Kinsman St Beverly MA 01915-1819 |
| Mailing Address |
100 Cummings Ctr Beverly MA 01915-6115 |
| Practice Telephone | 9788670431 |
| Mailing Telephone | 9788670431 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| 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 |
4 KINSMAN ST |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| 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 |
|---|---|---|---|---|
| 1588274732 | Eric Perkins | Behavior Technician | 480 Rantoul St Unit 414, Beverly, MA 01915-3278 | 2020-08-03 |
| 1366050965 | Jordan Jp Parisella | Behavior Technician | 15 Simon St, Beverly, MA 01915-3184 | 2020-07-20 |
| 1134737323 | Kristine Grace Paglia | Behavior Technician | 5 Scott St, Beverly, MA 01915-5619 | 2020-07-14 |
| 1336797869 | Kelly Theresa Colbert | Behavior Technician | 100 Cummings Ctr Ste 302aandb, Beverly, MA 01915-6115 | 2019-08-28 |
| 1043787807 | Tamara Eleanor Leland | Behavior Technician | 100 Cummings Ctr Ste 320, Beverly, MA 01915-6115 | 2018-10-30 |
| 1609354604 | Olivia R Thornburg | Behavior Technician | 100 Cummings Ctr Ste 320a&b, Beverly, MA 01915-6115 | 2018-08-01 |
| 1922598440 | Rylee Janice Elliott | Behavior Technician | 100 Cummings Ctr Ste 320a, Beverly, MA 01915-6112 | 2018-05-10 |
| 1851889422 | Mariah Salah | Behavior Technician | 100 Cummings Ctr Ste 320b, Beverly, MA 01915-6112 | 2018-04-28 |
| 1992200794 | Erica Danielle Ciulla | Behavior Technician | 39 Cornell Rd, Beverly, MA 01915-1611 | 2018-03-26 |
| 1770026494 | Jessica St. Vil | Behavior Technician | 100 Cummings Ctr Ste 457j, Beverly, MA 01915-6132 | 2016-11-29 |
| Find all providers in BEVERLY | ||||
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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.