KIMBERLY GARDNER MCLEOD (NPI# 1255810081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255810081 |
| Entity Type | Individual |
| Full Name | KIMBERLY GARDNER MCLEOD |
| Credential | RBT, MSW |
| Practice Address |
5663 S Laburnum Ave Richmond VA 23231-4418 |
| Practice Telephone | 8047373917 |
| Practice Fax Number | 8047373940 |
| Mailing Telephone | 8047373917 |
| Mailing Fax Number | 8047373940 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528522802 | Kimberly Mcleod | Counselor | 327 Dahlonega St, Cumming, GA 30040-2480 | 2019-01-30 |
| 1396121638 | Kimberly Mcleod | Counselor | 103 Commercial St, Brockton, MA 02302-3101 | 2015-08-10 |
| 1659495729 | Kimberly Mcleod | Optometrist | 385 Southbridge St, Auburn, MA 01501-2498 | 2007-03-16 |
| Street Address |
5663 S LABURNUM AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23231-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366727984 | Civitas Health Services, Inc. | Community/Behavioral Health | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2011-10-14 |
| 1437714227 | Sean Baskerville | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2019-05-07 |
| 1780156521 | Elaine Seltz Miller | Social Worker | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-12-18 |
| 1982174389 | Whitney Evans Gooch | Counselor | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-11-28 |
| 1366918039 | Sonja Ayers | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-10-19 |
| 1881160737 | Tracy Campbell Davis | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-10-18 |
| 1962982918 | William R. Mundie | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-08-20 |
| 1407336522 | Sabrina Morgan Jordan | Behavioral Analyst | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-08-17 |
| 1760961593 | Benjamin Franklin Knopp | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-08-13 |
| 1942788658 | Krystal Love Everhart | Behavioral Analyst | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1548721160 | Ray E Hill Jr. | Non-emergency Medical Transport (VAN) | 9469 Barrett Pl, Richmond, VA 23231 | 2019-03-27 |
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1225371743 | Vantage Point Community Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8005 Diamond Ridge Court, Henrico, VA 23231 | 2013-04-03 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1407050982 | Tawana Toneke Olds-davis | Counselor | 4305 Hillbrook Ave, Richmond, VA 23231 | 2007-06-11 |
| 1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
| 1235229113 | Aunt Anns Home for Adolescents | Counselor | 5901 Almond Creek N Lane, Richmond, VA 23231 | 2006-10-13 |
| 1962500421 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 | 2006-09-20 |
| 1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
| Find all providers in zip 23231 | ||||
| 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 |
|---|---|---|---|---|
| 1972104750 | Dmetric Brown | Behavior Technician | 3771 South A St, Richmond, IN 47374-6053 | 2020-11-06 |
| 1982203139 | Cenata Alexandria Jackson | Behavior Technician | 7353 Whitepine Rd Bldg G, Richmond, VA 23237-2260 | 2020-10-20 |
| 1104424209 | Laichoy Saechao | Behavior Technician | 611 Nevin Ave Apt B, Richmond, CA 94801-3075 | 2020-10-12 |
| 1932710852 | Thuy Ngoc Tran | Behavior Technician | 8814 Sunrise Terrace Ln, Richmond, TX 77407-4760 | 2020-08-13 |
| 1760091011 | Estefania Yamilet Rodriguez | Behavior Technician | 2360 Gaynor Ave, Richmond, CA 94804-1354 | 2020-07-23 |
| 1518582576 | Eric C Krupnick | Behavior Technician | 7113 Three Chopt Rd # 301, Richmond, VA 23226-3643 | 2020-06-15 |
| 1114540945 | Fiorella Nicolle Via | Behavior Technician | 2838 Lincoln Ave, Richmond, CA 94804-1324 | 2020-05-27 |
| 1356960694 | Shant'e Lynette Bellamy | Behavior Technician | 4906 Cutshaw Ave Ste 200, Richmond, VA 23230-3630 | 2020-04-15 |
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1104465459 | Jessica Elizabeth Melara | Behavior Technician | 3415 Waller Ave, Richmond, CA 94804-3269 | 2020-01-03 |
| Find all providers in RICHMOND | ||||
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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.