ISSAMAR FERNANDEZ TATIS (NPI# 1386189611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386189611 |
| Entity Type | Individual |
| Full Name | ISSAMAR FERNANDEZ TATIS |
| Practice Address |
10958 Shadow Ln Columbia MD 21044 |
| Mailing Address |
10958 Shadow Ln Columbia MD 21044-3786 |
| Practice Telephone | 4437669422 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
10958 SHADOW LN |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003257080 | Dannene Drummond | Behavioral Analyst | 10958 Shadow Ln, Columbia, MD 21044-3786 | 2013-07-08 |
| 1821640210 | Crystal Ducros | Behavior Technician | 10958 Shadow Ln, Columbia, MD 21044-3786 | 2019-07-15 |
| 1366929986 | Ronald Drummond | Behavior Technician | 10958 Shadow Ln, Columbia, MD 21044-3786 | 2018-07-26 |
| 1558882340 | Jennifer Rutter | Behavior Technician | 10958 Shadow Ln, Columbia, MD 21044-3786 | 2017-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| 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 |
|---|---|---|---|---|
| 1386241750 | Alexander R Arevalo | Behavioral Analyst | 8558 Black Star Cir, Columbia, MD 21045-2649 | 2020-10-07 |
| 1508481839 | Laura Crisan | Behavioral Analyst | 109 Preserve Ln, Columbia, SC 29209-1231 | 2020-06-12 |
| 1699399089 | Sabrena Samuel | Behavioral Analyst | 7106 Balmy Dew Way, Columbia, MD 21046-1615 | 2020-06-02 |
| 1720600661 | Risley Linder Jr. | Behavioral Analyst | 2003 Greene St Apt 105, Columbia, SC 29205-1638 | 2020-05-14 |
| 1578106316 | Erin Elisabeth Kendall | Behavioral Analyst | 2108 Greene St # 5495, Columbia, SC 29205-1641 | 2019-10-24 |
| 1497300024 | Penny Ligon | Behavioral Analyst | 1320 Main St Ste 300/butterflyeffects, Columbia, SC 29201-3266 | 2019-08-09 |
| 1437627197 | One Piece At A Time | Behavioral Analyst | 105 Londonberry Cir, Columbia, SC 29210-6058 | 2018-11-10 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1215413141 | Nelungwe Chuunga Darby | Behavioral Analyst | 3209 Crawford St, Columbia, MO 65203-2925 | 2018-07-13 |
| 1386136273 | Jessica Morant | Behavioral Analyst | 811 Polo Rd Apt 1428, Columbia, SC 29223-4429 | 2018-06-05 |
| Find all providers in COLUMBIA | ||||
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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.