SAMANTHA THEVERAPPERUMA (NPI# 1295390714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295390714 |
| Entity Type | Individual |
| Full Name | SAMANTHA THEVERAPPERUMA |
| Credential | RBT |
| Practice Address |
5151 Bonney Rd Ste 107 Virginia Beach VA 23462-4384 |
| Practice Telephone | 7573331861 |
| Mailing Telephone | 7573331861 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| 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 |
5151 BONNEY RD STE 107 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-4384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629574991 | Rachel Trail | Behavioral Analyst | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2018-04-04 |
| 1063010627 | Matthew Taylor | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2020-10-15 |
| 1669088357 | Zachary Walker | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2020-09-18 |
| 1801409404 | Rachel Bagley | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2020-08-25 |
| 1083230932 | Lauren Norcross | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2020-06-17 |
| 1093330185 | Kyan Hosang | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2020-06-15 |
| 1477186641 | Zach Erdman | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2020-02-17 |
| 1831736784 | Trey Mcclure | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2019-12-10 |
| 1649838293 | Sydney Rife | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2019-05-30 |
| 1821566365 | Tanner Short | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2018-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| 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 |
|---|---|---|---|---|
| 1639776289 | Georgia Elizabeth Healy | Behavior Technician | 4740 Berrywood Rd, Virginia Beach, VA 23464-5868 | 2020-10-07 |
| 1992311955 | Sara Homer | Behavior Technician | 348 Southport Cir Ste 101, Virginia Beach, VA 23452-1181 | 2020-09-16 |
| 1326677956 | Karina Isabel Braunshausen | Behavior Technician | 5606b Virginia Beach Blvd Ste 103, Virginia Beach, VA 23462-5680 | 2020-04-06 |
| 1407498157 | Tiera Troy | Behavior Technician | 780 Lynnhaven Pkwy Ste 0, Virginia Beach, VA 23452-7332 | 2019-10-15 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1679125330 | Kimberly Brown Lacroix | Behavior Technician | 2307 Oak St, Virginia Beach, VA 23451-1313 | 2019-07-12 |
| 1174083026 | Alexus Chiffon Haley | Behavior Technician | 1350 Pine Cone Cir, Virginia Beach, VA 23453-2708 | 2019-03-25 |
| 1265999254 | Aleksandra Gojkovic | Behavior Technician | 5606 Virginia Beach Blvd Ste 103, Virginia Beach, VA 23462-5631 | 2019-02-26 |
| 1437621521 | Roneka Latifa Scott | Behavior Technician | 1205 Pipers Cres Apt 431, Virginia Beach, VA 23454-4962 | 2018-12-30 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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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.