MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION (NPI# 1255992319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255992319 |
| Entity Type | Organization |
| Organization Name | MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION |
| Practice Address |
55 Atlanta St Se Ste 399 Marietta GA 30060-1977 |
| Mailing Address |
1101 Carter St Chattanooga TN 37402-5017 |
| Practice Telephone | 4234907710 |
| Practice Fax Number | 4234907750 |
| Mailing Telephone | 4234907710 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | STEPHANIE COOPER-WILKES (DIRECTOR HEALTHCARE ADMINISTRATION) |
| Authorized Official Telephone | 4234907727 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Siskin Center for Developmental Pediatrics | Doing Business As Name - Organization |
| Street Address |
55 ATLANTA ST SE STE 399 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427694108 | Grace Cheon | Behavioral Analyst | 55 Atlanta St Se Ste 399, Marietta, GA 30060-1977 | 2019-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| 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 |
|---|---|---|---|---|
| 1659905503 | Courtney Powell | Behavioral Analyst | 1900 Sierra Dr, Marietta, GA 30062-1838 | 2020-03-01 |
| 1720628100 | Raven Rogers | Behavioral Analyst | 2121 New Market Pkwy Se Ste 122, Marietta, GA 30067-9309 | 2020-01-13 |
| 1073098174 | Dina Vanessa Gomez | Behavioral Analyst | 76 W Dixie Ave Se, Marietta, GA 30008-2555 | 2018-09-25 |
| 1346696762 | Portia Henderson | Behavioral Analyst | 1557 Terrell Mill Rd Se Apt 6400a, Marietta, GA 30067-3092 | 2016-05-05 |
| 1730570227 | Meredith Cox | Behavioral Analyst | 1463 Sumter Dr Sw, Marietta, GA 30064-2920 | 2015-02-05 |
| 1649669128 | Heather Manley | Behavioral Analyst | 2954 Croftwood Trl Sw, Marietta, GA 30064-5012 | 2015-01-21 |
| 1164839106 | Jennifer Simpkins Abrom | Behavioral Analyst | 2121 New Market Pkwy Se Ste 130, Marietta, GA 30067-9309 | 2014-07-22 |
| 1154668358 | Andrew Michael Miller | Behavioral Analyst | 306 Sable Dr, Marietta, PA 17547-8527 | 2013-01-08 |
| 1124310321 | Ashley Simmons | Behavioral Analyst | 1511 Johnson Ferry Rd Ste 145, Marietta, GA 30062 | 2011-05-05 |
| 1396059424 | Prime Behavior Analysts, LLC | Behavioral Analyst | 772 Hampton Pl Sw, Marietta, GA 30064-3354 | 2010-07-30 |
| Find all providers in MARIETTA | ||||
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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.