MELISSA FORTSON (NPI# 1265834345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265834345 |
| Entity Type | Individual |
| Full Name | MELISSA FORTSON |
| Practice Address |
1739 Legrand Cir Lawrenceville GA 30043-8184 |
| Mailing Address |
1032 Old Peachtree Rd Nw Ste 401 Pmb 518 Lawrenceville GA 30043-3324 |
| Practice Telephone | 7705134331 |
| Mailing Telephone | 4046543919 |
| Enumeration Date | 2014-09-21 |
| Last Update Date | 2014-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1739 LEGRAND CIR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-8184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1053924043 | Anneka Ricketts | Behavioral Analyst | 2500 Brunswick Pike Ste 200, Lawrenceville, NJ 08648-4134 | 2020-08-28 |
| 1568082139 | Rachel Elizabeth Rider | Behavioral Analyst | 175 Gwinnett Dr Ste 300, Lawrenceville, GA 30046-8444 | 2020-04-23 |
| 1912544156 | Kids Talk Therapy | Behavioral Analyst | 1113 Town Square Ct, Lawrenceville, GA 30046-8379 | 2019-12-06 |
| 1083262836 | Denroc Enterprises LLC | Behavioral Analyst | 1070 Bridle Path Dr, Lawrenceville, GA 30045-8213 | 2019-08-26 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1134660996 | Jacqueline Nicole Lloyd | Behavioral Analyst | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2017-03-13 |
| 1598204406 | Kay Woods | Behavioral Analyst | 600 Summerstone Ln, Lawrenceville, GA 30044-5494 | 2017-02-13 |
| 1962949628 | Rebekah Snow | Behavioral Analyst | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2017-01-19 |
| 1619379799 | Behavior Solutions, LLC | Behavioral Analyst | 1032 Old Peachtree Rd Nw Ste 401, Pmb 518, Lawrenceville, GA 30043-3324 | 2014-09-21 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on MELISSA FORTSON.
| 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.