IMAGINE WELLNESS, LLC (NPI# 1396082657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396082657 |
Entity Type | Organization |
Organization Name | IMAGINE WELLNESS, LLC |
Practice Address |
7909 Belgaro Rd Laurel MD 20723-1108 |
Practice Telephone | 4437412249 |
Practice Fax Number | 3017254608 |
Mailing Telephone | 4437412249 |
Mailing Fax Number | 3017254608 |
Enumeration Date | 2013-01-07 |
Last Update Date | 2016-12-21 |
Authorized Official Name | MRS. CRYSTAL MARIE WISSINGER (OWNER/FOUNDER) |
Authorized Official Telephone | 4437412249 |
Authorized Official Credential | M.S., LBA, BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | 1-11-8182 | MD | Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | Imagine Wellness, LLC | 355 Highland Ave., #202, Cheshire, CT 06410 |
Street Address |
7909 BELGARO RD |
City | LAUREL |
State | MD |
Zip Code | 20723-1108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922504711 | Silvern Mbayie Fon | Home Health Aide | 10026 Gorman Road, Laurel, MD 20723 | 2018-04-02 |
1629506241 | True Motivation Works LLC | Supports Brokerage | 9185 Bourbon Street, Suite N, Laurel, MD 20723 | 2017-05-26 |
1124479647 | Ghata D Patel | Dentist | 9072 Manorwood Rd, Laurel, MD 20723 | 2016-06-27 |
1053708867 | Deja Rochelle Robinson | Student in an Organized Health Care Education/Training Program | 8642 Eastern Morning Run, Laurel, MD 20723 | 2015-04-20 |
1841680766 | First Call Medical Center LLC | Clinic/Center | 10981 Johns Hopkins Road, Laurel, MD 20723 | 2015-01-30 |
1376959346 | Martha Woldemichael | Pharmacist | 8410 Lily Lane, Laurel, MD 20723 | 2014-07-10 |
1164859906 | Marnie M Cato | Speech-Language Pathologist | 8510 Upper Sky Way, Laurel, MD 20723 | 2013-10-10 |
1063777977 | Sebastian Mbariku | Home Health Aide | 9792 Mountain Laurel Way #1b, Laurel, MD 20723 | 2012-07-06 |
1225307663 | Sophia Lamini Shabani | Home Health Aide | 9625 Hadley Court, Laurel, MD 20723 | 2011-12-14 |
1982998209 | Sarah Zaheer | Family Medicine | Centennial Medical Group, 10981 Johns Hopkins Road, Laurel, MD 20723 | 2011-06-03 |
Find all providers in zip 20723 |
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 |
---|---|---|---|---|
1083243208 | Children's Milestone | Behavioral Analyst | 275 Red Clay Rd Apt 303, Laurel, MD 20724-2369 | 2020-04-08 |
1861059487 | Anita Rikki Jackson | Behavioral Analyst | 14420 W Side Blvd Apt 310, Laurel, MD 20707-6271 | 2019-05-20 |
1851887681 | Beverly L Kirby | Behavioral Analyst | 8461 Winding Trl, Laurel, MD 20724-1435 | 2018-07-04 |
1528587193 | Josephine Adutwum | Behavioral Analyst | 9479 Muirkirk Rd, Laurel, MD 20708-2762 | 2017-09-14 |
1730624594 | Maria Belen Haig | Behavioral Analyst | 9935 Mallard Dr, Laurel, MD 20708-3195 | 2017-01-03 |
1083160535 | Monique Williams | Behavioral Analyst | 610 Montgomery St, Laurel, MD 20707-4002 | 2016-08-25 |
1134572399 | Jada Tucker | Behavioral Analyst | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2016-07-22 |
1124399662 | Crystal Marie Wissinger | Behavioral Analyst | 8344 Mary Lee Ln, Laurel, MD 20723-1192 | 2012-01-13 |
1720587363 | Joanette Rashaun Smith | Behavioral Analyst | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-02-09 |
1902305634 | Regine Zephirin | Behavioral Analyst | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-02-08 |
Find all providers in LAUREL |
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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.