KHADIJAH KASHAY SIMMONS (NPI# 1508307968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508307968 |
| Entity Type | Individual |
| Full Name | KHADIJAH KASHAY SIMMONS |
| Credential | MSW, CSW |
| Practice Address |
630 W Cornerview St Gonzales LA 70737-2742 |
| Practice Telephone | 2256474105 |
| Practice Fax Number | 8662348190 |
| Mailing Telephone | 2256474105 |
| Mailing Fax Number | 8662348190 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | 16088 | LA | Other Service Providers |
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
630 W CORNERVIEW ST |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859584 | Latricia Blain | Counselor | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2020-07-23 |
| 1811525454 | Kianna Frank | Counselor | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2020-03-30 |
| 1730717315 | Rebecca Ovide | Case Manager/Care Coordinator | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2020-03-30 |
| 1841708245 | Sumiya Howard | Case Manager/Care Coordinator | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2018-01-19 |
| 1154855591 | Open Arms Behavioral Services | Community/Behavioral Health | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| 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 |
|---|---|---|---|---|
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1376107946 | Trenecia Jordan | Behavior Technician | 1078 E Worthy St, Gonzales, LA 70737-4373 | 2019-04-29 |
| 1164925178 | Cecilia Delgado | Behavior Technician | 842 Palomino Way, Gonzales, CA 93926-9375 | 2018-03-15 |
| 1609486265 | Courtney Gilmer | Behavior Technician | 1028 E Worthy St, Gonzales, LA 70737-4367 | 2020-08-07 |
| 1114544244 | Courtney R Dugruise | Behavior Technician | 1028 E Worthy St, Gonzales, LA 70737-4367 | 2020-07-06 |
| 1700403318 | Adelaide Alyce Pizzuto | Behavior Technician | 1028 E Worthy St, Gonzales, LA 70737-4367 | 2020-06-30 |
| 1821614454 | Morilyn Fontenot | Behavior Technician | 1028 E Worthy St, Gonzales, LA 70737-4367 | 2020-06-19 |
| 1336772102 | Paige Noel Bivona | Behavior Technician | 1028 E Worthy St, Gonzales, LA 70737-4367 | 2020-02-19 |
| 1801426762 | Lakisha Nixon Jones | Behavior Technician | 1028 E Worthy St, Gonzales, LA 70737-4367 | 2020-01-20 |
| 1669010807 | Madeleine Hansen | Behavior Technician | 1028 E Worthy St, Gonzales, LA 70737-4367 | 2019-12-18 |
| Find all providers in GONZALES | ||||
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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.