MANDY MOODY (NPI# 1255989224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255989224 |
| Entity Type | Individual |
| Full Name | MANDY MOODY |
| Practice Address |
613 Stephenson Ave Ste 206 Savannah GA 31405-5841 |
| Mailing Address |
1321 Murfreesboro Pike Ste 702 Nashville TN 37217-2679 |
| Practice Telephone | 9123492479 |
| Practice Fax Number | 6155775654 |
| Mailing Telephone | 8443597629 |
| Mailing Fax Number | 6155775654 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| 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 |
|---|---|---|---|---|
| 1861970717 | Mandy Moody | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-08-02 |
| Street Address |
613 STEPHENSON AVE STE 206 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-5841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841544350 | Lindsey Knopf | Behavioral Analyst | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2012-11-06 |
| 1457968810 | Torrie D Redwine | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-09-29 |
| 1659983450 | Haley N Simmons | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-08-21 |
| 1144831280 | Morgan L O'quinn | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-08-12 |
| 1932710266 | Faunia Ann Spradlin | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-08-11 |
| 1881204196 | Deuntae Scott | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-08-03 |
| 1154931509 | Ethel M Vicks | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-07-31 |
| 1790395184 | Dustin M Stipe | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-07-31 |
| 1558988287 | Samantha R Rogers | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-06-29 |
| 1265055982 | Jackquelyn Williams | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-05-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
|---|---|---|---|---|
| 1083224299 | Raquel-monet Tucker | Behavior Technician | 5710 Ogeechee Road, Suite 200 - 251, Savannah, GA 31405-9515 | 2020-08-03 |
| 1437771706 | Tahlia Leleka Price | Behavior Technician | 450 Al Henderson Blvd Unit 1202, Savannah, GA 31419-6048 | 2020-05-10 |
| 1942821483 | Taylor Depol | Behavior Technician | 9111 White Bluff Rd, Savannah, GA 31406-4606 | 2020-05-06 |
| 1356976419 | Alexandria Herrin | Behavior Technician | 613 Stephenson Ave Ste A, Savannah, GA 31405-5985 | 2020-03-10 |
| 1790317154 | Lisa Henderson | Behavior Technician | 31 Beaver Run Dr, Savannah, GA 31419-9528 | 2020-02-04 |
| 1639716350 | Brandi Dawn Blackwell | Behavior Technician | 125 Tibet Ave Apt 116a, Savannah, GA 31406-5550 | 2019-12-01 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1417511379 | Erika Wallace | Behavior Technician | 8515 Lyn Ave, Savannah, GA 31406-6019 | 2019-04-26 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1457829335 | Kayla Glover | Behavior Technician | 210 Cromer St, Savannah, GA 31407-4829 | 2018-11-08 |
| Find all providers in SAVANNAH | ||||
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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.