MACKENZIE BOCCARDO (NPI# 1487145942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487145942 |
| Entity Type | Individual |
| Full Name | MACKENZIE BOCCARDO |
| Practice Address |
3000 Bethesda Pl Winston Salem NC 27103-3331 |
| Mailing Address |
3851 Dunhagan Rd Ste 102 Greenville NC 27858-6640 |
| Practice Telephone | 2527510518 |
| Mailing Telephone | 2527510518 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3000 BETHESDA PL |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891774881 | Vicki Deanne Carr | Counselor | 3000 Bethesda Pl, Ste 103, Winston Salem, NC 27103-3323 | 2006-01-10 |
| 1184139610 | Candise Miller | Counselor | 3000 Bethesda Pl, Winston Salem, NC 27103-3331 | 2017-12-06 |
| 1376058842 | Hayley Degnan | Counselor | 3000 Bethesda Pl, Winston Salem, NC 27103-3331 | 2017-12-06 |
| 1093226136 | Katie Hutchins | Counselor | 3000 Bethesda Pl, Winston Salem, NC 27103-3331 | 2017-10-16 |
| 1437498326 | Marjorie G Sales | Nurse Practitioner | 3000 Bethesda Pl, Suite 801, Winston Salem, NC 27103-3331 | 2013-02-12 |
| 1316238660 | Michael W Nuckolls | Counselor | 3000 Bethesda Pl, Suite 301, Winston Salem, NC 27103-3331 | 2011-04-20 |
| 1538326673 | Florence Elizabeth Davis | Psychiatry & Neurology | 3000 Bethesda Pl, Suite 101, Winston Salem, NC 27103-3331 | 2008-05-16 |
| 1659591162 | Family Behavioral Health, Pllc | Psychiatry & Neurology | 3000 Bethesda Pl, # 801, Winston Salem, NC 27103-3331 | 2007-04-26 |
| 1437288719 | Carolina Family Medicine and Dermatology | Clinic/Center | 3000 Bethesda Pl, Suite 601, Winston Salem, NC 27103-3331 | 2007-03-05 |
| 1447331186 | Megan H. Erickson | Chiropractor | 3000 Bethesda Pl, Suites 401-402, Winston Salem, NC 27103-3331 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1124634597 | Unique Williams | Behavior Technician | 108 N Cleveland Ave, Winston Salem, NC 27101-4435 | 2020-09-21 |
| 1124633938 | Tamara Marina Tigani | Behavior Technician | 2020 Northcliffe Dr Apt 718, Winston Salem, NC 27106-3378 | 2020-09-09 |
| 1982256608 | Stacy Elaine Zabel | Behavior Technician | 5140 Cobblestone Rd, Winston Salem, NC 27106-9671 | 2019-07-12 |
| 1922650761 | Nazjah Mcbride | Behavior Technician | 2367 Bethabara Rd Apt G10, Winston Salem, NC 27106-2339 | 2019-07-11 |
| 1780243964 | Jakayla Slade | Behavior Technician | 1812 Camden Forest Dr, Winston Salem, NC 27127-4686 | 2019-06-11 |
| 1437717634 | Kelsey Miller | Behavior Technician | 1959 N Peace Haven Rd Ste 104, Winston Salem, NC 27106-4850 | 2019-06-03 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1689137333 | Janora Bey | Behavior Technician | 1959 N Peacehaven Rd # 104, Winston Salem, NC 27106-4850 | 2019-04-10 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1952879827 | Crystal Fleming | Behavior Technician | 2513 La Deara Crest Ln, Winston Salem, NC 27105-3074 | 2018-11-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.