NOAH PERALES (NPI# 1295204345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295204345 |
| Entity Type | Individual |
| Full Name | NOAH PERALES |
| Practice Address |
2138 Fawns Creek Xing Mt Juliet TN 37122-1207 |
| Mailing Address |
30 Venue Cir Apt 303 Lebanon TN 37090-1656 |
| Practice Telephone | 3129652997 |
| Mailing Telephone | 2107811685 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 46040 Center Oak Plz Ste 150, Sterling, VA 201666611 | 7039979494 |
| Street Address |
2138 FAWNS CREEK XING |
| City | MT JULIET |
| State | TN |
| Zip Code | 37122-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940223 | Danielle Potter | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2018-01-25 |
| 1851991558 | Kendra Robertson | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-10-30 |
| 1811596604 | Molly Balmer | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-10-22 |
| 1225636590 | Laci Evans | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-10-09 |
| 1255944286 | Holli Brown | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-08-28 |
| 1407467798 | Mills Lebo | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-08-11 |
| 1710598016 | Brooke Vincent | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-08-11 |
| 1295344885 | Alexis Glennie | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-07-29 |
| 1982220083 | Samantha Harden | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-06-24 |
| 1144845579 | Allison Bancroft | Behavioral Analyst | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628084 | Your Motion Physical Therapy Pllc | Physical Therapist | 102 Vanner Rd, Mt. Juliet, TN 37122 | 2020-01-14 |
| 1639728355 | Brantley Allen Thigpen | Student in an Organized Health Care Education/Training Program | 2128, Fellowshid Rd, Mount Juliet, TN 37122 | 2019-09-05 |
| 1811479272 | Jessica Danielle Parker | Nurse Practitioner | 854 N Mt Juliet Road, Mt Juliet, TN 37122 | 2018-09-02 |
| 1952891798 | Twin Lakes Dental Care Pllc | Clinic/Center | 11315 Lebanon Rd, Mount Juliet, TN 37122 | 2018-05-17 |
| 1346768983 | William Siegel | Chiropractor | 650 S. Mount Juliet Rd. Suite 105, Mount Juliet, TN 37122 | 2017-09-04 |
| 1194269506 | Michele Mcdermitt | Nurse Practitioner | 108 Providence Trail, Mt. Juliet, TN 37122 | 2016-12-05 |
| 1720537491 | Mt. Juliet Dental Group, PC | Dentist | 4155 N Mt Juliet Rd, Mt. Juliet, TN 37122 | 2016-09-23 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1639624109 | Samantha Nicole Grishaber | Occupational Therapist | 5000 Crossing Circle, Suite 100, Mount Juliet, TN 37122 | 2016-08-24 |
| 1033584461 | Kimberly Campbell | Nurse Practitioner | 3500 N Mount Juliet Rd Ste 201, Mt Juliet, TN 37122 | 2015-12-10 |
| Find all providers in zip 37122 | ||||
| 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 |
|---|---|---|---|---|
| 1528625340 | Sarah Paige O'nan | Behavior Technician | 401 S Mount Juliet Rd # 235-118, Mt Juliet, TN 37122-6359 | 2019-05-28 |
| 1134784671 | Tricia Gentry | Behavior Technician | 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359 | 2019-05-09 |
| 1366940223 | Danielle Potter | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2018-01-25 |
| 1851991558 | Kendra Robertson | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-10-30 |
| 1811596604 | Molly Balmer | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-10-22 |
| 1780283127 | Anna Pszenny | Behavior Technician | 401 S Mount Juliet Rd # 235-118, Mt Juliet, TN 37122-6359 | 2020-10-17 |
| 1225636590 | Laci Evans | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-10-09 |
| 1255944286 | Holli Brown | Behavior Technician | 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207 | 2020-08-28 |
| 1750993614 | Melanie Freeman | Behavior Technician | 401 S Mount Juliet Rd, Mt Juliet, TN 37122-6359 | 2020-08-20 |
| 1780296210 | John Jacob Mcmahon Iv | Behavior Technician | 401 S Mount Juliet Rd, Mt Juliet, TN 37122-6359 | 2020-08-17 |
| Find all providers in MT JULIET | ||||
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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.