MS. KIMBERLY BERNICE MARTIN (NPI# 1417590944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417590944 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY BERNICE MARTIN |
| Practice Address |
101 Centerpoint Dr Middletown CT 06457-7568 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 8552953276 |
| Mailing Telephone | 8182416780 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190282 | Kimberly F Martin | Technician | 370 Nunner Rd, Maineville, OH 45039-8515 | 2020-09-29 |
| 1801412390 | Kimberly Alberta Martin | Counselor | 2368 Crescent St Fl 1, Astoria, NY 11105-3108 | 2020-06-19 |
| 1174161756 | Kimberly Lynn Martin | Case Manager/Care Coordinator | 141 Twin Lake Ln, Princeton, WV 24739-9591 | 2019-12-14 |
| 1316418361 | Kimberly Cathleen Martin | Nurse Practitioner | 607 Old Highway 24 W, Kokomo, MS 39643-5052 | 2018-12-16 |
| 1114494424 | Kimberly Martin | Rehabilitation Practitioner | 6655 S Fort Apache Rd Unit 110, Las Vegas, NV 89148-5061 | 2018-10-25 |
| 1700333416 | Kimberly Martin | Behavioral Analyst | 7421 Nw 34th St, Lauderhill, FL 33319-7103 | 2016-09-10 |
| 1467730838 | Kimberly Ann Martin | Speech-Language Pathologist | 7350 Hawk Rd, Flower Mound, TX 75022-6266 | 2011-08-02 |
| 1154617413 | Kimberly M Martin | Registered Nurse | 1204 Drill Ave Ne, Palm Bay, FL 32907-1121 | 2011-06-24 |
| 1598050742 | Kimberly Martin | Physical Therapist | 2821 Kings Mill Rd, Greensboro, NC 27407-6431 | 2011-06-16 |
| 1487812764 | Kimberly Ann Martin | Occupational Therapist | 128 Northgate Dr, De Queen, AR 71832-1700 | 2008-05-23 |
| Street Address |
101 CENTERPOINT DR |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-7568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588211601 | Amma N Osafo | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2019-08-22 |
| 1285259077 | Benjamin Ryan Sheridan | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2020-06-08 |
| 1023642857 | Marcus Cosenza | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2020-03-02 |
| 1689205908 | Amanda Paige Perra | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2020-01-27 |
| 1720625239 | Joshua Paul Coscia | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2019-12-03 |
| 1083257513 | Janell Harvey-jefferson | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2019-10-28 |
| 1255974788 | Theresa Juliani | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2019-10-28 |
| 1487298915 | Ashley M Chuquilla | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2019-10-28 |
| 1053954586 | Michelle Labbe | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2019-10-28 |
| 1962045492 | Taylor Gwynn | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1780205336 | Maren Rachel Konrady | Behavior Technician | 200 Maslin Valley Ln, Middletown, VA 22645-1940 | 2020-05-05 |
| 1891334066 | Erin Shaw | Behavior Technician | 50 Pearl St E, Middletown, NJ 07748-1150 | 2020-01-05 |
| 1144863671 | Robyn Devaughn | Behavior Technician | 101 Centerpoint Dr Ste 243, Middletown, CT 06457-7568 | 2019-10-28 |
| 1588211601 | Amma N Osafo | Behavior Technician | 101 Centerpoint Dr, Middletown, CT 06457-7568 | 2019-08-22 |
| 1235782780 | Kelly J Hazel | Behavior Technician | 8927 Mount Tabor Rd, Middletown, MD 21769-9220 | 2019-07-23 |
| 1033626023 | Rachel V Williams | Behavior Technician | 166 Renfrew Ave, Middletown, RI 02842-5829 | 2017-12-29 |
| 1124534110 | Lena Shenk-foley | Behavior Technician | 160 Oliphant Ln, Middletown, RI 02842-4646 | 2017-12-28 |
| 1326647397 | Damien Lee Rosa | Behavior Technician | 101 Centerpoint Dr Ste 243, Middletown, CT 06457-7568 | 2020-10-21 |
| 1548875933 | Kelsey Cronin | Behavior Technician | 160 Oliphant Ln, Middletown, RI 02842-4646 | 2020-09-11 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.