KELLY MICHELLE TAIT (NPI# 1396128773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396128773 |
| Entity Type | Individual |
| Full Name | KELLY MICHELLE TAIT |
| Credential | M.S., BCBA |
| Practice Address |
1253 Judge Tyler Dr Clarksville TN 37043-1423 |
| Practice Telephone | 9314490063 |
| Practice Fax Number | 9318962737 |
| Mailing Telephone | 9314490063 |
| Mailing Fax Number | 9318962737 |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-18806 | Behavioral Health & Social Service Providers |
| Street Address |
1253 JUDGE TYLER DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194227249 | Richard Cory Nichols | Behavioral Analyst | 1253 Judge Tyler Dr, Clarksville, TN 37043-1423 | 2018-03-05 |
| 1013419167 | Natalie A Nultgren | Behavior Technician | 1253 Judge Tyler Dr, Clarksville, TN 37043-1423 | 2018-03-05 |
| 1942702097 | Anne M Riedlinger | Assistant Behavior Analyst | 1253 Judge Tyler Dr, Clarksville, TN 37043-1423 | 2018-03-05 |
| 1912359761 | Kathleen Estelle Dignan | Behavioral Analyst | 1253 Judge Tyler Dr, Clarksville, TN 37043-1423 | 2016-07-05 |
| 1902258759 | Stephanie Nicole Bailey | Behavioral Analyst | 1253 Judge Tyler Dr, Clarksville, TN 37043-1423 | 2016-07-05 |
| 1073965810 | Advanced Behavioral Consultants | Behavioral Analyst | 1253 Judge Tyler Dr, Clarksville, TN 37043-1423 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1871105353 | Haley Armacost | Behavioral Analyst | 13850 Wayside Dr, Clarksville, MD 21029-1305 | 2020-08-17 |
| 1497303960 | Qusayy M. Godbolt | Behavioral Analyst | 1207 Snowball Ln, Clarksville, TN 37042-7855 | 2019-08-28 |
| 1053896811 | Chelsea E Carter | Behavioral Analyst | 2284 Raleigh Ct # A, Clarksville, TN 37043-1945 | 2018-09-27 |
| 1396255402 | Layarada Rawlins | Behavioral Analyst | 2277 Wilma Rudolph Blvd Ste C, Clarksville, TN 37040-6161 | 2017-10-03 |
| 1366969982 | Amanda Elliott | Behavioral Analyst | 1008 Ishee Dr, Clarksville, TN 37042-6672 | 2017-08-24 |
| 1659809978 | Rachel Allison Olive | Behavioral Analyst | 2116 Richview Pl, Clarksville, TN 37043 | 2017-05-31 |
| 1841749728 | Brittany Farmer | Behavioral Analyst | 941 Professional Park Drive, Clarksville, TN 37043 | 2016-10-03 |
| 1497112775 | Sara Hibpshman | Behavioral Analyst | 139 E Old Trenton Rd Ste B, Clarksville, TN 37043-5845 | 2016-01-18 |
| 1174905194 | Megaera Rye | Behavioral Analyst | 1401 Buchanon Dr, Clarksville, TN 37042-3347 | 2015-06-25 |
| 1700215209 | Autism Therapy and Training, Pllc | Behavioral Analyst | 355 Kimbrough Rd, Clarksville, TN 37043-4615 | 2013-11-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on KELLY MICHELLE TAIT.
| 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.