TAILA-IMANI GWENYTH NORENBERG (NPI# 1548820236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548820236 |
| Entity Type | Individual |
| Full Name | TAILA-IMANI GWENYTH NORENBERG |
| Practice Address |
1664 Market Place Blvd Cumming GA 30041-7927 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 4702534121 |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-06-16 |
| Gender Code | F |
| 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 |
1664 MARKET PLACE BLVD |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912487059 | Jana Coleman | Behavioral Analyst | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2018-08-17 |
| 1225656531 | Hallie Laurel Mcguinness | Behavior Technician | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2020-07-13 |
| 1356969349 | Sarah Elizabeth Alley | Behavior Technician | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2020-07-07 |
| 1033740329 | Briana Webb | Behavior Technician | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2020-01-27 |
| 1790324101 | Jake Parham | Behavior Technician | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2020-01-02 |
| 1821637265 | Monte'yiona Kejohna Jones | Behavior Technician | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2020-01-02 |
| 1528603222 | Madison Adams | Behavior Technician | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2019-11-17 |
| 1629612676 | Kadeja Wilorean Meadows | Behavior Technician | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2019-11-02 |
| 1184285918 | Kelsey Jane Nutt | Behavior Technician | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2019-06-24 |
| 1275190852 | Alyssa Villamor-thompkins | Behavior Technician | 1664 Market Place Blvd, Cumming, GA 30041-7927 | 2019-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1558984419 | Joseph Phillip Mcclendon | Behavior Technician | 410 Peachtree Pkwy Bldg 410, Cumming, GA 30041-7066 | 2020-05-26 |
| 1871124198 | Amy Katherine Tatum | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Road, Suite T200, Cumming, GA 30040-3002 | 2020-01-27 |
| 1306481635 | Shaneile Anmarie Campbell | Behavior Technician | 410 Peachtree Pkwy Ste 400, Cumming, GA 30041-7066 | 2019-11-11 |
| 1790345544 | Devin Roger Mathews | Behavior Technician | 5595 Ranch Dr, Cumming, GA 30041-4249 | 2019-06-14 |
| 1356806087 | Macy Davidson | Behavior Technician | 1664 Market Place Blvd Ste 100, Cumming, GA 30041-7927 | 2019-02-06 |
| 1508321654 | Candis A Hughes | Behavior Technician | 1664 Market Place Blvd Ste 101, Cumming, GA 30041-7927 | 2019-02-03 |
| 1376140228 | Ravin Tyra Cato | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-10-05 |
| 1811594864 | Brittney Grace Eubanks | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-10-02 |
| 1275130221 | Emily Wynn Dowling | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-10-02 |
| 1295342095 | Rachel Joan Thurston | Behavior Technician | 4150 Deputy Bill Cantrell Memorial Rd, Suite T200, Cumming, GA 30040-3002 | 2020-09-25 |
| Find all providers in CUMMING | ||||
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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.