NEFERTITI ROBERTSON (NPI# 1437619442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437619442 |
| Entity Type | Individual |
| Full Name | NEFERTITI ROBERTSON |
| Other Name | NEFERTITI MITCHELL |
| Practice Address |
4323 Old Mill Rd Ste B Anderson SC 29621-1117 |
| Mailing Address |
1321 Murfreesboro Pike Ste 702 Nashville TN 37217-2679 |
| Practice Telephone | 8646711466 |
| Mailing Telephone | 6156952277 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| 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 |
| Street Address |
4323 OLD MILL RD STE B |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134416910 | Amy Barwick | Behavioral Analyst | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2011-06-30 |
| 1497353197 | Sydney M Rhodes | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-10-14 |
| 1013520063 | Krista M Lutz | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-08-28 |
| 1881204675 | Katharine M Peltola | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-08-06 |
| 1154930121 | Victoria Rose Metts | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-07-27 |
| 1649898826 | Joseph Issac Blackwell | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-07-14 |
| 1982229167 | Jaime Woodruff | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-06-12 |
| 1780208702 | Jenna Jaso | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-06-05 |
| 1164045951 | Quinn C Wollenburg | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-05-27 |
| 1417577347 | Chenoa West | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| 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 |
|---|---|---|---|---|
| 1699318600 | Striving for Change LLC | Behavior Technician | 1419 Nelle St, Anderson, IN 46016-3255 | 2019-10-22 |
| 1285280842 | Jayecea Mcgrew | Behavior Technician | 5025 Happy Valley Rd, Anderson, CA 96007-9323 | 2019-08-09 |
| 1497353197 | Sydney M Rhodes | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-10-14 |
| 1013520063 | Krista M Lutz | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-08-28 |
| 1881204675 | Katharine M Peltola | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-08-06 |
| 1154930121 | Victoria Rose Metts | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-07-27 |
| 1649898826 | Joseph Issac Blackwell | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-07-14 |
| 1982229167 | Jaime Woodruff | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-06-12 |
| 1780208702 | Jenna Jaso | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-06-05 |
| 1164045951 | Quinn C Wollenburg | Behavior Technician | 4323 Old Mill Rd Ste B, Anderson, SC 29621-1117 | 2020-05-27 |
| Find all providers in ANDERSON | ||||
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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.