MARISA LYNN MOUTRAY (NPI# 1336785476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336785476 |
| Entity Type | Individual |
| Full Name | MARISA LYNN MOUTRAY |
| Practice Address |
90 State St Ste 700 Albany NY 12207-1707 |
| Mailing Address |
3461 Carman Rd Schenectady NY 12303-5321 |
| Practice Telephone | 6313857780 |
| Practice Fax Number | 6313857795 |
| Mailing Telephone | 5189828390 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| 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 |
90 STATE ST STE 700 |
| City | ALBANY |
| State | NY |
| Zip Code | 12207-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255699567 | Alina Heim I | Behavioral Analyst | 90 State St Ste 700, Albany, NY 12207-1707 | 2012-04-25 |
| 1043820061 | Allanah Nunez | Behavior Technician | 90 State St Ste 700, Albany, NY 12207-1707 | 2020-08-04 |
| 1932748563 | Bre-anna Michele Johnson | Behavior Technician | 90 State St Ste 700, Albany, NY 12207-1707 | 2019-12-30 |
| 1194241117 | Elizabeth Dawson | Behavior Technician | 90 State St Ste 700, Albany, NY 12207-1707 | 2017-08-22 |
| 1629593561 | Jennifer Lynn Masker | Behavior Technician | 90 State St Ste 700, Albany, NY 12207-1707 | 2017-08-11 |
| 1457876641 | Alysha Khan | Behavior Technician | 90 State St Ste 700, Albany, NY 12207-1707 | 2017-08-08 |
| 1104341569 | Meghan Drown | Behavioral Analyst | 90 State St Ste 700, Albany, NY 12207-1707 | 2017-08-07 |
| 1467998963 | New Attitude Prosthetic Designs Inc. | Durable Medical Equipment & Medical Supplies | 90 State St Ste 700, Albany, NY 12207-1707 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821588930 | Raynika Denise Wilcox | Behavior Technician | 90 State Street,suite 700, Albany, NY 12207 | 2018-05-14 |
| 1770020562 | Laura Mahoney | Dental Hygienist | 950 Lark Drive, Albany, NY 12207 | 2017-01-31 |
| 1003282880 | Hala Awad | Pharmacist | 17 21 N Pearl St, Albany, NY 12207 | 2015-08-17 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1275896805 | Deidre Romanski | Case Manager/Care Coordinator | 112 State Street Room 300, Albany, NY 12207 | 2012-06-19 |
| 1124325394 | Devon Clough | Registered Nurse | 3 Ecomm Square, Albany, NY 12207 | 2011-02-23 |
| 1336459825 | Elina Tsenter | Specialist | 112 State Street, Room 300, Albany, NY 12207 | 2010-10-18 |
| 1750609137 | Michele Monforte Papol | Registered Nurse | 3 East Commerce Square, Albany, NY 12207 | 2010-05-11 |
| 1982842704 | Richard Stuarts Metzger | Pharmacist | 418 Broadway, Albany, NY 12207 | 2009-02-02 |
| 1467639245 | Daniella Rodrigues Ferri | Pharmacist | 1721 North Pearl St, Albany, NY 12207 | 2008-01-24 |
| Find all providers in zip 12207 | ||||
| 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 |
|---|---|---|---|---|
| 1134746522 | Shelby Farrelly | Behavior Technician | 2 Computer Dr W Ste 120, Albany, NY 12205-1622 | 2020-07-01 |
| 1457978066 | Anila Xhavo | Behavior Technician | 55 Pleasantview Ave, Albany, NY 12203-3216 | 2020-06-30 |
| 1235771114 | Brooke Reedy | Behavior Technician | 3140 Knox Butte Ave Ne, Albany, OR 97321-4516 | 2019-10-12 |
| 1689227241 | Theresa Rose Dechiaro | Behavior Technician | 2 Computer Dr W, Albany, NY 12205-1639 | 2019-07-22 |
| 1447724984 | Eric Abrams | Behavior Technician | 90 State St Ste 711, Albany, NY 12207-1716 | 2019-01-17 |
| 1821588930 | Raynika Denise Wilcox | Behavior Technician | 90 State Street,suite 700, Albany, NY 12207 | 2018-05-14 |
| 1851895882 | Yoshida Fatima Carter | Behavior Technician | 364 Elk St, Albany, NY 12206-2746 | 2018-03-23 |
| 1649710104 | Inbal Regev Lavy | Behavior Technician | 982 Kains Ave, Apt A, Albany, CA 94706-2002 | 2017-03-03 |
| 1659988764 | Hardai Varsha Sarabdial | Behavior Technician | 2 Computer Dr W Ste 210, Albany, NY 12205-1622 | 2020-09-24 |
| 1407462245 | Bridget Pelton | Behavior Technician | 2 Computer Dr W, Albany, NY 12205-1639 | 2020-09-17 |
| Find all providers in ALBANY | ||||
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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.