MERCEDES BURBANK (NPI# 1477104859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477104859 |
Entity Type | Individual |
Full Name | MERCEDES BURBANK |
Practice Address |
345a Greenwood St Worcester MA 01607-1753 |
Practice Telephone | 5083631213 |
Enumeration Date | 2019-09-26 |
Last Update Date | 2019-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
Street Address |
345A GREENWOOD ST |
City | WORCESTER |
State | MA |
Zip Code | 01607-1753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548544026 | Behavioral Concepts Innovation, LLC | Community/Behavioral Health | 345a Greenwood St, Worcester, MA 01607 | 2011-10-03 |
1104426105 | Stephanie Don | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-10-28 |
1255930764 | Daniel Malin Scottgale | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-10-26 |
1205435799 | Arissa Vallee | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-10-26 |
1710586631 | Rachel Sanchez | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-10-21 |
1427657311 | Levi Fancher | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-10-21 |
1962001065 | Paola Cristina Rodriguez | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-10-20 |
1306444237 | Paula Hoaglund | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-10-13 |
1275130171 | Emily Brackett | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-10-04 |
1841897840 | Raymond Erick Zvavanyange | Behavior Technician | 345a Greenwood St, Worcester, MA 01607-1753 | 2020-10-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194334482 | Kara Louise Fluet | Behavior Technician | 45a Greenwood St, Worcester, MA 01607 | 2020-07-23 |
1245890664 | Hajarah Shakir | Developmental Therapist | 35a Greenwood St, Worcester, MA 01607 | 2019-06-18 |
1881199289 | Erin Valcourt | Developmental Therapist | 345 A Greenwood St., Suite B, Worcester, MA 01607 | 2018-03-27 |
1215466644 | Danielle M Costa | Behavioral Analyst | 345a Greenwood Stree, Suite B, Worceter, MA 01607 | 2017-06-08 |
1679007397 | Tara Faford | Developmental Therapist | 345a Greenwood Sreet, Suite B, Worcester, MA 01607 | 2017-04-19 |
1598201006 | Destiny Johnson | Developmental Therapist | 345a Greenwich Street Suite B, Worcester, MA 01607 | 2017-01-09 |
1962945642 | Anthony Mastrocola | Developmental Therapist | 345a Greenwood St. Suite B, Worcester, MA 01607 | 2016-11-29 |
1821444159 | Victoria Lucarini | Behavioral Analyst | 345 Greenwood St. Suite B, Worcester, MA 01607 | 2016-05-05 |
1558722173 | Timothy Donahue | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2016-03-09 |
1689033078 | Christine Grudoff | Developmental Therapist | 345a Greendwood Street, Suite B, Worcester, MA 01607 | 2016-02-15 |
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Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1396392718 | Autism Intervention Consultants, Inc | Assistant Behavior Analyst | 7 Hazel St, Worcester, MA 01604-1923 | 2019-08-20 |
1093228660 | Natasha Harden | Assistant Behavior Analyst | 8 Ashton St, Worcester, MA 01605-2505 | 2017-11-06 |
1013541242 | Shelly A Veitenheimer | Assistant Behavior Analyst | 345a Greenwood St Ste B, Worcester, MA 01607-1753 | 2020-02-26 |
1427610146 | Camila Rodriguez | Assistant Behavior Analyst | 324 Clark St Fl 2, Worcester, MA 01606-1214 | 2019-07-02 |
1588129225 | Nicole Patricia Suarez | Assistant Behavior Analyst | 330 Sw Cutoff Ste 203, Worcester, MA 01604-2730 | 2019-02-06 |
1679057004 | Nicole Michaela Tufts | Assistant Behavior Analyst | 345 Greenwood St, Worcester, MA 01607-1767 | 2018-09-21 |
1063996767 | Ellaine Adu Ntoso | Assistant Behavior Analyst | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2018-09-18 |
1295224137 | Pamela Jeanne Smith | Assistant Behavior Analyst | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2018-05-07 |
1710480314 | Gia Westerman | Assistant Behavior Analyst | 345 Greenwood St, Worcester, MA 01607-1767 | 2018-03-10 |
1144754391 | Patricia Makary(kelly) | Assistant Behavior Analyst | 345 Greenwood St, Worcester, MA 01607-1767 | 2017-04-14 |
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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.