MARANDA FOUNTAIN (NPI# 1316172224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316172224 |
| Entity Type | Individual |
| Full Name | MARANDA FOUNTAIN |
| Credential | BCBA |
| Practice Address |
10926 S Tryon St Ste E Charlotte NC 28273-4154 |
| Practice Telephone | 8139575453 |
| Mailing Telephone | 8552015498 |
| Mailing Fax Number | 8888494249 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1095693 | FL | Behavioral Health & Social Service Providers |
| Street Address |
10926 S TRYON ST STE E |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699661 | Hannah Nicole Jones | Behavioral Analyst | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-11-06 |
| 1235730219 | Danielle Dinardo Hill | Behavior Technician | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-11-05 |
| 1528668779 | Matthew Duffy | Behavior Technician | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-10-27 |
| 1316545890 | Whitney Janice Deshay Cope | Behavior Technician | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-10-15 |
| 1295333763 | Desiree Rains | Behavioral Analyst | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-10-15 |
| 1851998876 | Madison Elizabeth Cheek | Behavior Technician | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-10-02 |
| 1841807310 | Ashleigh Stallworth Dady | Behavior Technician | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-09-28 |
| 1326654484 | Clare Gaffney | Behavior Technician | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-09-23 |
| 1255947123 | Jaclyn Doetschman | Behavior Technician | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-09-16 |
| 1144834920 | Vivienne Ruth Walton Sejat | Behavior Technician | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| 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 |
|---|---|---|---|---|
| 1619513496 | Alicia Renee Costner | Behavioral Analyst | 13001 Seascape Ln, Charlotte, NC 28278-7113 | 2019-11-27 |
| 1659932713 | Delia Conroy | Behavioral Analyst | 1420 Abbey Pl Apt 217, Charlotte, NC 28209-3071 | 2019-06-27 |
| 1508332982 | Behavioral Health Management | Behavioral Analyst | 1016 Jordans Pond Ln, Charlotte, NC 28214-7148 | 2018-10-23 |
| 1760967855 | Pwandra Natalia Robinson | Behavioral Analyst | 707 Yorkdale Dr, Charlotte, NC 28217-3494 | 2018-09-25 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1396226106 | Brandi Finger | Behavioral Analyst | 10471 Alexander Martin Ave, Charlotte, NC 28277-8192 | 2018-08-29 |
| 1356822696 | Staci Lynne Kolko | Behavioral Analyst | 17206 Lancaster Hwy Ste 501, Charlotte, NC 28277-2004 | 2018-08-24 |
| 1639650005 | Bonnie Y Anderson | Behavioral Analyst | 5200 77 Center Dr Ste 130, Charlotte, NC 28217-0742 | 2018-08-23 |
| 1740775030 | Acceptwc | Behavioral Analyst | 2600 W Trade St, Charlotte, NC 28208-3245 | 2018-06-28 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| Find all providers in CHARLOTTE | ||||
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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.