KP BEHAVIORS OPTIONS LLC (NPI# 1356848360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356848360 |
| Entity Type | Organization |
| Organization Name | KP BEHAVIORS OPTIONS LLC |
| Practice Address |
140 Roscommon Ct Tyrone GA 30290-1879 |
| Practice Telephone | 4707764223 |
| Mailing Telephone | 4707764223 |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2018-04-07 |
| Authorized Official Name | GENELA GISSEL VALLEJO DE PETER (ABA THERAPY) |
| Authorized Official Telephone | 4707764223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | GA | Behavioral Health & Social Service Providers |
| Street Address |
140 ROSCOMMON CT |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-1879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124525274 | Genela Gissel Vallejo De Peter | Behavior Technician | 140 Roscommon Ct, Tyrone, GA 30290-1879 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| 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 |
|---|---|---|---|---|
| 1720689318 | Javaris Paggett | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-02 |
| 1619587631 | Ashaki Felix | Behavioral Analyst | 120 Millbrook Village Dr, Tyrone, GA 30290-3605 | 2020-08-04 |
| 1770109175 | Jenna Elliott | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-06-22 |
| 1134759608 | Southside Aba LLC | Behavioral Analyst | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-01-23 |
| 1538760202 | Adriane Amel | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-08 |
| 1194324384 | Cymbre Davis | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-10-20 |
| 1477152668 | Melissa Miner | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-10-20 |
| 1558960856 | Danielle Edwards | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-10-19 |
| 1053931154 | Virgina Ponton Sack | Behavioral Analyst | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-04-20 |
| 1184256133 | Darla June Pfliger | Behavioral Analyst | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-02-07 |
| Find all providers in TYRONE | ||||
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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.