MOLLIE EATON (NPI# 1548706815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548706815 |
| Entity Type | Individual |
| Full Name | MOLLIE EATON |
| Other Name | MOLLIE EATON |
| Practice Address |
2323 W Front St Tyler TX 75702-7704 |
| Practice Telephone | 9035971351 |
| Practice Fax Number | 9035357386 |
| Mailing Telephone | 9035971351 |
| Mailing Fax Number | 9035357386 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-24008 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2323 W FRONT ST |
| City | TYLER |
| State | TX |
| Zip Code | 75702-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967569 | Jan Lorenz | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2005-10-24 |
| 1982240776 | Pamela Summers | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7747 | 2019-11-27 |
| 1154833713 | Cieja Chapman | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2017-11-03 |
| 1184159097 | Alex Park | Pharmacist | 2323 W Front St, Tyler, TX 75702-7704 | 2017-04-28 |
| 1538604715 | Andrews Center -pinkerton | Social Worker | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-27 |
| 1609310150 | Rachel Massey | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-16 |
| 1871948992 | Alexandra Smith | Physician Assistant | 2323 W Front St, Tyler, TX 75702-7704 | 2016-04-26 |
| 1952773293 | Susan Blalock | Counselor | 2323 W Front St, Tyler, TX 75702-7704 | 2015-10-27 |
| 1851777148 | Andrews Center/drop In | Community Based Residential Treatment Facility, Mental Illness | 2323 W Front St, Tyler, TX 75702-7704 | 2015-08-10 |
| 1922482751 | Andrews Center | Community/Behavioral Health | 2323 W Front St, Tyler, TX 75702-7704 | 2015-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
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| 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 |
|---|---|---|---|---|
| 1861005944 | Jessica Turner | Behavioral Analyst | 1537 E Grande Blvd Ste 400, Tyler, TX 75703-3986 | 2020-08-28 |
| 1710503479 | Paige Ferrell | Behavioral Analyst | 17610 County Road 46, Tyler, TX 75704-3636 | 2020-06-18 |
| 1932729621 | Hayden Lee Heath Jr. | Behavioral Analyst | 14864 Harvey Road, Tyler, TX 75706 | 2020-04-22 |
| 1447681341 | Courtney Therneau | Behavioral Analyst | 212 Old Grande Blvd Ste C118, Tyler, TX 75703-4265 | 2013-12-03 |
| 1639794746 | Lacey Kristine Jackson | Behavioral Analyst | 1537 E Grande Blvd, Tyler, TX 75703-3900 | 2020-06-15 |
| 1922636422 | Casey Lukacs | Behavioral Analyst | 120 E South Town Dr, Tyler, TX 75703-4747 | 2020-03-30 |
| 1295362119 | Heather L Henderson | Behavioral Analyst | 120 E South Town Dr, Tyler, TX 75703-4747 | 2020-03-23 |
| 1932758356 | Natisha Lyann Allen | Behavioral Analyst | 120 E South Town Dr, Tyler, TX 75703-4747 | 2019-09-09 |
| 1194389668 | Steven D Burgess | Behavioral Analyst | 1722 W Front St, Tyler, TX 75702-6823 | 2019-04-30 |
| 1609310150 | Rachel Massey | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-16 |
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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.