TIA MARIE MITCHELTREE (NPI# 1477186609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477186609 |
| Entity Type | Individual |
| Full Name | TIA MARIE MITCHELTREE |
| Practice Address |
535 Riverstone Pkwy Ste 101 Canton GA 30114-2566 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 8666100580 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| 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 |
535 RIVERSTONE PKWY STE 101 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245899574 | Florida Autism Center | Assistant Behavior Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2019-06-11 |
| 1396346938 | Haley Williams | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-11-02 |
| 1760096754 | Abigail Elizabeth Jones | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-09-07 |
| 1639797806 | Bronte M Pruitt | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-07-13 |
| 1306463039 | Alexis Kathleen Snyder | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-06-29 |
| 1275155988 | Krista Whaley | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-05-15 |
| 1629604251 | Joshua V Swain | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-03-16 |
| 1528699642 | Kaitlynn Shaye Loyd | Behavior Technician | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-01-28 |
| 1598304750 | Lacey Baynes | Behavioral Analyst | 535 Riverstone Pkwy Ste 101, Canton, GA 30114-2566 | 2020-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1699376855 | Megan Elizabeth Lee Johnsoln | Behavior Technician | 700 Preston Glen Cir, Apt. 303, Canton, GA 30114-3011 | 2020-11-04 |
| 1710586490 | Casey Barbas | Behavior Technician | 340 Turnpike St Ste 1-3d, Canton, MA 02021-2700 | 2020-10-22 |
| 1336775063 | Gagana Borra | Behavior Technician | 42311 Grandover Ct, Canton, MI 48187-3985 | 2020-03-13 |
| 1811520679 | Adam Shelp | Behavior Technician | 12875 Cumming Hwy # 4, Canton, GA 30115-4884 | 2020-02-19 |
| 1003451394 | Casaundra White | Behavior Technician | 535 Riverstone Pkwy Ste 100, Canton, GA 30114-5328 | 2019-11-11 |
| 1790336923 | Maisy Seale | Behavior Technician | 7240 Camelia Ct, Canton, MI 48187-1431 | 2019-09-29 |
| 1184274763 | Joycelynn Hernandez | Behavior Technician | 4023 Cornerstone Dr, Canton, MI 48188-7911 | 2019-09-16 |
| 1598321606 | Noni Verma | Behavior Technician | 41415 White Tail Ln, Canton, MI 48188-2074 | 2019-05-14 |
| 1699230474 | Janvi Patel | Behavior Technician | 571 Canterbury Cir, Canton, MI 48187-3802 | 2019-02-05 |
| 1548736507 | Brianna Maki | Behavior Technician | 41434 W Village Green Blvd Apt 207, Canton, MI 48187-3864 | 2018-10-17 |
| Find all providers in CANTON | ||||
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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.