MR. IMOLEAYO O ABASS (NPI# 1568014447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568014447 |
| Entity Type | Individual |
| Full Name | MR. IMOLEAYO O ABASS |
| Credential | RBT |
| Practice Address |
15 Constitution Dr Bedford NH 03110-6042 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 6036379406 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-75476 | NY | Behavioral Health & Social Service Providers |
| Street Address |
15 CONSTITUTION DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425641 | Stephen D. Elgert | Family Medicine | 15 Constitution Dr, Elliot Family Medicine At Bedford Village, Bedford, NH 03110-6042 | 2005-05-27 |
| 1154933323 | Eminence Home Care LLC | In Home Supportive Care | 15 Constitution Dr, Bedford, NH 03110-6042 | 2020-08-19 |
| 1245859529 | Orbit Transportation | Non-emergency Medical Transport (VAN) | 15 Constitution Dr, Bedford, NH 03110-6042 | 2020-04-15 |
| 1558916932 | Katherine Sarah Abbott | Behavior Technician | 15 Constitution Dr, Bedford, NH 03110-6042 | 2019-08-02 |
| 1649839721 | Samantha Dean Arsenault | Behavioral Analyst | 15 Constitution Dr, Bedford, NH 03110-6042 | 2019-06-11 |
| 1427615657 | Darlene Rose Gianatasio | Behavior Technician | 15 Constitution Dr, Bedford, NH 03110-6042 | 2019-05-22 |
| 1790241909 | Madison Taylor | Behavior Technician | 15 Constitution Dr, Bedford, NH 03110-6042 | 2019-02-12 |
| 1225519515 | Kristine Head | Behavior Technician | 15 Constitution Dr, Bedford, NH 03110-6042 | 2018-08-24 |
| 1295274694 | Psychiatric Wellness Center | Nurse Practitioner | 15 Constitution Dr, Suite 1a, Bedford, NH 03110-6042 | 2017-02-17 |
| 1770027286 | Aware Recovery Care Inc | Counselor | 15 Constitution Dr, Suite 2n, Bedford, NH 03110-6042 | 2016-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| 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 |
|---|---|---|---|---|
| 1780290510 | Joshua West | Behavior Technician | 3 Executive Park Dr Ste 279, Bedford, NH 03110-7067 | 2020-09-17 |
| 1649837485 | Susan L Sennett | Behavior Technician | 360 Nh 101 Ste 11, Bedford, NH 03110-5031 | 2019-05-28 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1366973893 | Mercedes Hamilton | Behavior Technician | 307 Crenshaw St, Bedford, VA 24523-2609 | 2017-03-26 |
| 1699375667 | Danielle Agostinello | Behavior Technician | 360 Route 101 Ste 11, Bedford, NH 03110-5031 | 2020-10-29 |
| 1174123145 | Eryn Hume | Behavior Technician | 360 Route 101 Ste 11, Bedford, NH 03110-5031 | 2020-10-29 |
| 1952908295 | Christy Guerrier | Behavior Technician | 360 Route 101 Ste 11, Bedford, NH 03110-5031 | 2020-10-08 |
| 1457968125 | Daphne Jean Thompson | Behavior Technician | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-28 |
| 1609482900 | Julia Burke | Behavior Technician | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-22 |
| 1447865571 | Margaret Fritz | Behavior Technician | 270 Union St, Bedford, OH 44146-4546 | 2020-09-15 |
| Find all providers in BEDFORD | ||||
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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.