MR. DREW ADAM DISMUKE (NPI# 1588147540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588147540 |
| Entity Type | Individual |
| Full Name | MR. DREW ADAM DISMUKE |
| Credential | B.C.A.B.A. |
| Practice Address |
4141 N Henderson Rd Ste 8 Arlington VA 22203-2485 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5717779210 |
| Practice Fax Number | 5712104305 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-17-8293 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5662 Ridge View Dr, Alexandria, VA 223101445 | 5712766952 |
| Street Address |
4141 N HENDERSON RD STE 8 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22203-2485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467951327 | Robert Emery | Behavior Technician | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2018-02-06 |
| 1306446455 | Conner Wyatt Herman | Behavioral Analyst | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2020-10-28 |
| 1154929958 | Vanessa De La Rosa | Behavioral Analyst | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2020-10-14 |
| 1295340008 | Elyse Eitches | Behavior Technician | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2020-09-09 |
| 1407479405 | Lydia Elaine Efird | Behavioral Analyst | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2020-05-26 |
| 1215560214 | Diamond Kivietta Cannon | Behavior Technician | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2020-02-18 |
| 1407487184 | Evelin Omari Esteban-arana | Behavior Technician | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2020-01-30 |
| 1821628736 | Nyjah Amanda Wallace | Behavior Technician | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2020-01-20 |
| 1821637000 | Jordan Battle | Behavioral Analyst | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2020-01-05 |
| 1972150811 | Andrea Jones | Behavior Technician | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2019-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923706 | Yeo Lim Kim | Registered Nurse | 816 N Oakland St, Unit 704, Arlington, VA 22203 | 2020-08-22 |
| 1174016190 | Bilal Rasool Chaudhry | Dentist | 801 N Quincy St Ste 110, Arlington, VA 22203 | 2018-06-13 |
| 1861993479 | Ballston Dental Arts, Pllc | Dentist | 900 N Taylor Street #150, Arlington, VA 22203 | 2018-02-28 |
| 1790293256 | Hawah Yahoh Conteh | Occupational Therapist | 900 North Taylor Street, Arlington, VA 22203 | 2018-01-18 |
| 1992237911 | Annyck Besso | Dietitian, Registered | 4250 Fairfax Dr Ste 600, Arlington, VA 22203 | 2017-03-29 |
| 1093267221 | Wilhelmina Dres | Physical Therapy Assistant | 3821 Wilson Blvd., Arlington, VA 22203 | 2016-11-04 |
| 1063861672 | Gentle Care Dentists | Dentist | 901 N Stuart Street, Suite 101, Arlington, VA 22203 | 2016-06-06 |
| 1235516717 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3833 N. Fairfax Dr., Suite 300, Arlington, VA 22203 | 2015-05-04 |
| 1013313501 | Michelle May | Counselor | 4601 N Fairfax Dr, Suite 1200, Arlington, VA 22203 | 2014-11-10 |
| 1346685567 | Maggie Lyles | Family Medicine | 200 N Glebe Rd Ste 300, Arlington, VA 22203 | 2013-05-01 |
| Find all providers in zip 22203 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1134617392 | Cora Norman | Assistant Behavior Analyst | 624 Engleside Dr, Arlington, TX 76018-5106 | 2018-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170064 | Yuly Angelica Willard | Assistant Behavior Analyst | 300 Arboretum Pl, Suite 500, Richmond, VA 23236 | 2020-09-28 |
| 1730707340 | Indara Carroll | Assistant Behavior Analyst | 817 Castile Pl, Henrico, VA 23238-5534 | 2020-07-09 |
| 1912523747 | Ariel Nickole Weddle | Assistant Behavior Analyst | 1525 Technology Dr, Chesapeake, VA 23320-5974 | 2020-06-17 |
| 1225663701 | Brittany Kersey-adams | Assistant Behavior Analyst | 1329 Alum Spring Rd, Fredericksburg, VA 22401-8011 | 2020-03-05 |
| 1386299071 | Converge Behavioral Services, LLC | Assistant Behavior Analyst | 11507 Hearthstone Ct, Reston, VA 20191-4403 | 2019-08-08 |
| 1609437078 | Robert Brainard James Jr. | Assistant Behavior Analyst | 21786 Green Stable Sq Apt 212, Ashburn, VA 20147-6777 | 2019-06-26 |
| 1932763117 | Huafeng Wang | Assistant Behavior Analyst | 10135 Yorktown Dr, Great Falls, VA 22066-4208 | 2019-04-23 |
| 1285192195 | Alliance Aba, LLC | Assistant Behavior Analyst | 3330 Bourbon St Ste 126, Fredericksburg, VA 22408-7334 | 2019-03-10 |
| 1720543085 | Rolando A Zelada I | Assistant Behavior Analyst | 406 N Argonne Ave, Sterling, VA 20164-3003 | 2019-01-31 |
| 1659841831 | Impact Behavior Centers LLC | Assistant Behavior Analyst | 108 W Greenway Blvd, Falls Church, VA 22046-4005 | 2018-11-29 |
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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.