JUSTIN PHILIP FETTER (NPI# 1487253423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487253423 |
| Entity Type | Individual |
| Full Name | JUSTIN PHILIP FETTER |
| Credential | BS |
| Practice Address |
5310 Ball Camp Pike Knoxville TN 37921-3234 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8655234704 |
| Mailing Telephone | 8656379711 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| 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 |
5310 BALL CAMP PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255300356 | Arun Jethanandani | Psychiatry & Neurology | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2006-03-14 |
| 1538767512 | Rita Renee Seiber | Licensed Practical Nurse | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-10-13 |
| 1750988465 | Mackenzie Stephen Kohnle | Registered Nurse | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-10-06 |
| 1295332906 | Skylar Tanaka | Case Manager/Care Coordinator | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-10-06 |
| 1467069765 | Olivia Grace Hardie | Counselor | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-09-30 |
| 1851903066 | Steven Wayne Welsh | Licensed Practical Nurse | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-08-19 |
| 1972113173 | Clay Martin Mings | Counselor | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-08-03 |
| 1629686068 | Mary Franfces Miller | Peer Specialist | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-07-22 |
| 1891319265 | Alexis Reagan Leechford | Social Worker | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-06-02 |
| 1073137444 | Afton Nicole Neal | Social Worker | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
| Find all providers in zip 37921 | ||||
| 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 |
|---|---|---|---|---|
| 1285246926 | Anastasia Marie Mullen | Behavior Technician | 8657 Eagle Pointe Dr, Knoxville, TN 37931-4974 | 2020-08-22 |
| 1821627233 | Makayla Anne Morton | Behavior Technician | 9038 Cross Park Dr, Knoxville, TN 37923-4728 | 2020-04-07 |
| 1124653597 | Jami Nelson | Behavior Technician | 1524 Clover Hill Ln, Knoxville, MD 21758-1105 | 2020-03-06 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1528559374 | Gillian Kay Ketron | Behavior Technician | 503 Longview Rd Apt C, Knoxville, TN 37919-3728 | 2018-05-27 |
| 1962003939 | Tiffaney Brooke Allen | Behavior Technician | 200 Prosperity Dr, Knoxville, TN 37923-4718 | 2020-11-05 |
| 1306447511 | Madeline Patricia Smith | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-11-04 |
| 1487254678 | Haley Engelman | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-10-28 |
| 1912507088 | Sadie Brooke Anderson | Behavior Technician | 120 Huxley Rd Ste 102, Knoxville, TN 37922-3188 | 2020-10-28 |
| 1457950370 | Syyrus Dashaun Shell | Behavior Technician | 200 Prosperity Dr, Knoxville, TN 37923-4718 | 2020-10-21 |
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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.