CHANELLE DOCTOR


Address: 604 Graydon Ave Apt 8, Norfolk, VA 23507-1734
Phone: 7576390512

CHANELLE DOCTOR (NPI# 1538609300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538609300
Entity Type Individual
Full Name CHANELLE DOCTOR
Credential M.ED, BCBA, LBA, RDT
Practice Address 604 Graydon Ave Apt 8
Norfolk
VA 23507-1734
Practice Telephone 7576390512
Practice Fax Number 8045894501
Mailing Telephone 7576390512
Mailing Fax Number 8045894501
Enumeration Date 2017-02-27
Last Update Date 2020-10-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 221700000X Art Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 103K00000X Behavioral Analyst 0133001736 VA Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
421 Fayetteville St, Suite 110, Raleigh, NC 276011792 8888809270
2205 Becketts Ridge Dr, Hillsborough, NC 272786641 9197420919

Office Location

Street Address 604 GRAYDON AVE APT 8
City NORFOLK
State VA
Zip Code 23507-1734

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790306801 Paolo Quentin Rigo Student in an Organized Health Care Education/Training Program Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 2020-04-29
1811526221 Sean M Whitty Student in an Organized Health Care Education/Training Program Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 2020-04-07
1962030643 Shekinah Joy Vaughn Student in an Organized Health Care Education/Training Program 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 2020-03-30
1982231403 Jaxon Vallely Student in an Organized Health Care Education/Training Program 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 2020-03-25
1437714656 Kanishk Deep Sharma Student in an Organized Health Care Education/Training Program 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 2019-05-02
1619439460 Dylan Woolum Student in an Organized Health Care Education/Training Program Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 2019-04-02
1477012623 Jessie R Jones Student in an Organized Health Care Education/Training Program 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 2019-03-18
1316416787 Lindsey Sawyer Genetic Counselor, MS Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 2018-11-15
1881188159 Patrick Michael Haar Pharmacist 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 2018-06-19
1316438377 Monika Pajhal Student in an Organized Health Care Education/Training Program Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 2018-05-25
Find all providers in zip 23507

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053941922 Cassandra Clement Behavioral Analyst 8600 Glen Myrtle Ave, Norfolk, VA 23505-5402 2020-01-20
1164948535 Honey Behavioral Therapy Behavioral Analyst 520 W. 21st Street, Suite G2-407, Norfolk, VA 23517 2017-08-17
1316492663 Robert Carl Olberding Jr. Behavioral Analyst 301 Burleigh Ave, Norfolk, VA 23505-3414 2016-08-16
1528415759 Emily Dollieslager Behavioral Analyst 160 W Bayview Blvd, Norfolk, VA 23503-4745 2016-05-18
1467819797 Jennifer Mcmurtrie Behavioral Analyst 3743 Abingdon Cir, Norfolk, VA 23513-3501 2016-01-17
1396124186 Marie Hawkley Behavioral Analyst 8224 Meadow Creek Rd, Norfolk, VA 23518-2913 2015-05-26
1558763912 Praxis Behavioral Consulting Behavioral Analyst 1331 Bolling Ave, Norfolk, VA 23508-1301 2014-09-17
1215344361 Ashley W Colon Behavioral Analyst 201 College Pl Apt 316, Norfolk, VA 23510-0912 2014-07-21
1710398730 Summit Behavior Therapy, LLC Behavioral Analyst 1030 Jamestown Cres, Norfolk, VA 23508-1260 2014-05-13
1679990295 Lynn Husband Behavioral Analyst 6010 Finney St, Norfolk, VA 23502-4521 2014-03-20
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23507

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Dataset Information

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.

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