HAILEY BLACKSTOCK (NPI# 1366951865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366951865 |
| Entity Type | Individual |
| Full Name | HAILEY BLACKSTOCK |
| Credential | BCBA |
| Practice Address |
1389 Weber Industrial Dr Cumming GA 30041-6468 |
| Mailing Address |
352 Mill Cove Dr Dahlonega GA 30533-7617 |
| Practice Telephone | 7708866204 |
| Practice Fax Number | 6782616421 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-26951 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1389 WEBER INDUSTRIAL DR |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-6468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477650521 | Mary Abbett | Occupational Therapist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2006-09-20 |
| 1881255214 | Stacey Mcguire | Speech-Language Pathologist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2019-06-26 |
| 1881151314 | Thu Anh Nguyen | Occupational Therapist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2019-02-20 |
| 1417428426 | Adriana Swick | Occupational Therapist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2018-12-17 |
| 1659864510 | Mary Oliver | Speech-Language Pathologist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2018-06-14 |
| 1720585110 | Nadia Virjee | Occupational Therapist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2018-04-11 |
| 1194229575 | Demetrius Thompson | Occupational Therapist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2018-03-21 |
| 1235643347 | Kym Ledford | Physical Therapist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2017-11-28 |
| 1235682774 | Sarah Sharbaugh Eayre | Physical Therapist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2016-08-02 |
| 1629433818 | Bryson May Green | Occupational Therapist | 1389 Weber Industrial Dr, Cumming, GA 30041-6468 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1669084398 | Mallory Moore | Behavioral Analyst | 102 Mary Alice Park Rd Ste 304, Cumming, GA 30040-2683 | 2020-08-24 |
| 1093346389 | Inga Haut | Behavioral Analyst | 4045 Montgrove Gln, Cumming, GA 30041-7376 | 2020-01-27 |
| 1912487059 | Jana Coleman | Behavioral Analyst | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2018-08-17 |
| 1649776592 | New Day Aba Therapy LLC | Behavioral Analyst | 2450 Atlanta Hwy Ste 902, Cumming, GA 30040-1252 | 2018-03-31 |
| 1063878593 | Melanie Sugar | Behavioral Analyst | 8220 Stonebrook Ct, Cumming, GA 30040-6617 | 2016-01-13 |
| 1356777056 | Elizabeth Landers | Behavioral Analyst | 410 Peachtree Pkwy Ste 4245, Cumming, GA 30041-7407 | 2013-09-25 |
| 1043508146 | Dana Louise Shroyer | Behavioral Analyst | 7110 Mcbrayer Rd, Cumming, GA 30028-8957 | 2011-07-11 |
| 1740517432 | Jessica L. Spies | Behavioral Analyst | 7065 Oakcreek Trce, Cumming, GA 30041-3405 | 2009-11-17 |
| 1487892006 | Kimberly Castro Seymour | Behavioral Analyst | 564 Peachtree Pkwy, Suite 105, Cumming, GA 30041-9327 | 2009-02-04 |
| 1134731045 | Blackwest, LLC | Behavioral Analyst | 703 Atlanta Rd, Cumming, GA 30040-2705 | 2020-08-21 |
| Find all providers in CUMMING | ||||
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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.