ANDRIA JOY NICHELLE WYNN (NPI# 1295216281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295216281 |
| Entity Type | Individual |
| Full Name | ANDRIA JOY NICHELLE WYNN |
| Practice Address |
260 Peachtree St Nw Atlanta GA 30303-1202 |
| Mailing Address |
500 Fairway Dr Deerfield Beach FL 33441-1814 |
| Practice Telephone | 8888809270 |
| Mailing Telephone | 8888809272 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| 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 |
| Street Address |
260 PEACHTREE ST NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750619532 | Family Intervention & Community Advocay, LLC | Day Training, Developmentally Disabled Services | 260 Peachtree St Nw, Suite 2200, Atlanta, GA 30303-1202 | 2009-12-07 |
| 1558974329 | Consula Asubonteng | Behavior Technician | 260 Peachtree St Nw, Atlanta, GA 30303-1202 | 2020-08-31 |
| 1881235638 | Angela Danielle Beck | Behavior Technician | 260 Peachtree St Nw, Atlanta, GA 30303-1202 | 2019-10-02 |
| 1538721899 | Taylor Christien Ray | Behavior Technician | 260 Peachtree St Nw, Atlanta, GA 30303-1202 | 2019-07-07 |
| 1053882837 | Mariam Balde Diallo | Behavior Technician | 260 Peachtree St Nw, Atlanta, GA 30303-1202 | 2018-12-05 |
| 1053889410 | Lindsey Veazie | Behavior Technician | 260 Peachtree St Nw, Atlanta, GA 30303-1202 | 2018-11-04 |
| 1770058166 | Alanna King | Behavior Technician | 260 Peachtree St Nw, Atlanta, GA 30303-1202 | 2018-10-11 |
| 1538650379 | Claire Greenway | Behavioral Analyst | 260 Peachtree St Nw, Atlanta, GA 30303-1202 | 2018-05-29 |
| 1235658469 | Latonya Walker | Behavior Technician | 260 Peachtree St Nw, Atlanta, GA 30303-1202 | 2017-09-19 |
| 1689191249 | Jerry Rivera | Behavioral Analyst | 260 Peachtree St Nw, Atlanta, GA 30303-1202 | 2017-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| 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 |
|---|---|---|---|---|
| 1730789504 | Fabian Alejandro Martinez | Behavior Technician | 470 16th St Nw Apt 1028, Atlanta, GA 30363-3003 | 2020-10-29 |
| 1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
| 1225636939 | Madison Smith | Behavior Technician | 1726 Defoor Ave Nw Unit B, Atlanta, GA 30318-7532 | 2020-10-14 |
| 1659988798 | Gael Lyn Westphal Clifton | Behavior Technician | 95 8th St Nw Apt 1309, Atlanta, GA 30309-4571 | 2020-09-23 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1992314686 | Alicia L Mack | Behavior Technician | 260 Peachtree St Nw Ste 2000, Atlanta, GA 30303-1239 | 2020-07-28 |
| 1811515539 | Kimberly Caito | Behavior Technician | 6849 Peachtree Dunwoody Rd Unit 1, Atlanta, GA 30328-1608 | 2020-07-09 |
| 1992329452 | Asia L Nelson | Behavior Technician | 3378 Greenbriar Pkwy Sw Apt 2304, Atlanta, GA 30331-2681 | 2020-06-01 |
| Find all providers in ATLANTA | ||||
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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.