DR. GREGORY RICHMOND MANCIL (NPI# 1255612289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255612289 |
| Entity Type | Individual |
| Full Name | DR. GREGORY RICHMOND MANCIL |
| Credential | BCBA-D, LBA |
| Practice Address |
730 Fairview Avenue Suite B-5 Bowling Green KY 42101 |
| Mailing Address |
670 Wakefield St Bowling Green KY 42103-1551 |
| Practice Telephone | 2709045071 |
| Practice Fax Number | 2709045072 |
| Mailing Telephone | 5022986983 |
| Enumeration Date | 2011-09-03 |
| Last Update Date | 2012-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | KY-0017 | KY | Behavioral Health & Social Service Providers |
| Street Address |
730 FAIRVIEW AVENUE SUITE B-5 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| 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 |
|---|---|---|---|---|
| 1922612852 | Ashlie Beth Glenn | Behavioral Analyst | 1504 Barley Way, Bowling Green, KY 42104-6347 | 2020-09-08 |
| 1407311053 | Alexa Fisher | Behavioral Analyst | 16439 Pike 292, Bowling Green, MO 63334-5111 | 2019-02-07 |
| 1164809422 | Nicolas Alan Houck | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2015-05-06 |
| 1578979019 | Ryan Burke | Behavioral Analyst | 2702 Industrial Dr Apt 814, Bowling Green, KY 42101-4156 | 2014-07-04 |
| 1982986725 | Bailey Anne Robinson | Behavioral Analyst | 181 West Professional Park Court, Suite 1, Bowling Green, KY 42104-3250 | 2011-09-19 |
| 1023628492 | Leigh Ann Chapman | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-07-31 |
| 1679124440 | Holly Jo Harris | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2019-09-24 |
| 1306407515 | Hayley Ashcraft | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2019-06-27 |
| 1477071033 | Hopebridge, LLC | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2017-09-05 |
| 1821511692 | Hopebridge, LLC | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2017-07-24 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on DR. GREGORY RICHMOND MANCIL.
| 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.