REGINA N BICKHAM (NPI# 1609364983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609364983 |
| Entity Type | Individual |
| Full Name | REGINA N BICKHAM |
| Credential | BA, MACMHC |
| Practice Address |
122 Gordon Commercial Dr Ste C Lagrange GA 30240-5754 |
| Mailing Address |
5365 Brickleberry Way Douglasville GA 30134-4045 |
| Practice Telephone | 7068454045 |
| Practice Fax Number | 7068454367 |
| Mailing Telephone | 6789259422 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
122 GORDON COMMERCIAL DR STE C |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938492 | Melissa Ann Johnson | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2010-03-15 |
| 1689282220 | Sherjuana Davis | Social Worker | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2020-07-20 |
| 1821636846 | Katie Kinsey | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-20 |
| 1104464296 | Christopher Blake Glaze | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-19 |
| 1134767361 | Forrest Johnson | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-18 |
| 1033755475 | Zenetta Michelle Harris | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-11-20 |
| 1760023915 | Mariana Garcia | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-30 |
| 1134770274 | Jennie Laplant | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-20 |
| 1427608652 | Robin Wilson | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-19 |
| 1912555103 | Sophia Vaughn | Contractor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1568951069 | Devorah Laticia Story | Behavior Technician | 131 Montrose Way, Lagrange, GA 30240-7729 | 2018-05-09 |
| 1942846381 | Hanna Cook | Behavior Technician | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2019-11-20 |
| 1043708555 | Brandon Bogues | Behavior Technician | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-04-30 |
| 1356846539 | Carrie Ann Mashburn | Behavior Technician | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083802 | Alyssa Toney | Behavior Technician | 4606 Treehills Pkwy, Stone Mountain, GA 30088-3088 | 2020-11-05 |
| 1609477694 | Elizabeth Cobb | Behavior Technician | 2147 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2020-11-05 |
| 1699376855 | Megan Elizabeth Lee Johnsoln | Behavior Technician | 700 Preston Glen Cir, Apt. 303, Canton, GA 30114-3011 | 2020-11-04 |
| 1730789504 | Fabian Alejandro Martinez | Behavior Technician | 470 16th St Nw Apt 1028, Atlanta, GA 30363-3003 | 2020-10-29 |
| 1336749258 | Rosalyn E Williams | Behavior Technician | 1050 Rock Quarry Rd Apt 100, Stockbridge, GA 30281-6404 | 2020-10-29 |
| 1306446448 | Kristen West | Behavior Technician | 3552 Orchard Cir, Decatur, GA 30032-2510 | 2020-10-28 |
| 1376143461 | Marika Deliyianni | Behavior Technician | 9645 Pine Thicket Way, Roswell, GA 30075-4331 | 2020-10-28 |
| 1932709037 | Missy Nicole Day | Behavior Technician | 310 Northlake Dr Apt 32, Warner Robins, GA 31093-1675 | 2020-10-28 |
| 1497355416 | Devonta Markeice Lancaster | Behavior Technician | 2200 Satellite Blvd Apt 701, Duluth, GA 30097-4018 | 2020-10-28 |
| 1316547607 | Nyasia Phillips | Behavior Technician | 126 Smart Ln, Sylvania, GA 30467-8269 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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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.