KELLY ARCHIBALD (NPI# 1508268038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508268038 |
| Entity Type | Individual |
| Full Name | KELLY ARCHIBALD |
| Practice Address |
415 Claremont Ave Apt 5h Montclair NJ 07042-1800 |
| Practice Telephone | 9736507605 |
| Mailing Telephone | 9736507605 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 185 Prospect Ave, Apartment 6l, Hackensack, NJ 076012210 | 9736507605 | |
| 415 Claremont Ave Apt 5h, Montclair, NJ 070421800 | 9736507605 |
| Street Address |
415 CLAREMONT AVE APT 5H |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871099689 | American Therapy House | Behavioral Analyst | 4959 Palo Verde St Ste 105c, Montclair, CA 91763-2359 | 2018-04-02 |
| 1053841049 | Jill Laurie Saxon | Behavioral Analyst | 105 Grove St Ste 17, Montclair, NJ 07042-4053 | 2017-06-13 |
| 1134673205 | Henry Schlinger | Behavioral Analyst | 9017 Sycamore Ave, Suite 216, Montclair, CA 91763-1565 | 2016-08-06 |
| 1063884484 | Barbara Wolf | Behavioral Analyst | 15452 Silvan Glen Dr, Montclair, VA 22025-1012 | 2015-10-25 |
| 1679814289 | Amanda Jane Bernard | Behavioral Analyst | 413 Bloomfield Ave, Apt C, Montclair, NJ 07042-3572 | 2013-03-06 |
| 1891256988 | Michael George Reynolds | Behavioral Analyst | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-03-29 |
| 1629549894 | Dianni Faith Hall | Behavioral Analyst | 80 Park Street, Montclair, NJ 07042 | 2018-12-16 |
| 1366910929 | Shanta Dorsey | Behavioral Analyst | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-11-12 |
| 1285172049 | Kristen Jaworski | Behavioral Analyst | 31 Trinity Pl, Apartment 14, Montclair, NJ 07042-2773 | 2017-02-01 |
| 1114462264 | Institute for Social Skills, Inc. | Behavioral Analyst | 9017 Sycamore Ave, #216, Montclair, CA 91763-1565 | 2016-12-28 |
| Find all providers in MONTCLAIR | ||||
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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.