AMAZE BEHAVIOR THERAPY (NPI# 1619379542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619379542 |
| Entity Type | Organization |
| Organization Name | AMAZE BEHAVIOR THERAPY |
| Practice Address |
3505 Adkisson Dr Nw Suite 208 Cleveland TN 37312-6803 |
| Practice Telephone | 4233228796 |
| Practice Fax Number | 4234736721 |
| Mailing Telephone | 4233228796 |
| Mailing Fax Number | 4234736721 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | MS. CARRIE EILEEN WALLS (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4233228796 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-12-11707 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1528677 | 05 |
| Street Address |
3505 ADKISSON DR NW SUITE 208 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-6803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184252348 | Cathy Joanne Johnson | Technician | 3505 Adkisson Dr Nw, Cleveland, TN 37312-6803 | 2020-03-31 |
| 1902386394 | Tracy Ayanna Nalory | Social Worker | 3505 Adkisson Dr Nw, Cleveland, TN 37312-6803 | 2018-08-15 |
| 1013427707 | Betterlives LLC | Nursing Care | 3505 Adkisson Dr Nw, Cleveland, TN 37312-6803 | 2017-10-06 |
| 1992190896 | Heather Carver | Counselor | 3505 Adkisson Dr Nw, Ste 156, Cleveland, TN 37312-3731 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| 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 |
|---|---|---|---|---|
| 1992322721 | Demarcus Henderson | Behavioral Analyst | 3992 E 144th St, Cleveland, OH 44128-1870 | 2020-06-27 |
| 1871079160 | Mai Consulting Services, LLC | Behavioral Analyst | 1110 Euclid Ave Ste 300, Cleveland, OH 44115-1626 | 2018-07-19 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1619483864 | Nina P Booker | Behavioral Analyst | 2070 E. 90th, P-57, Cleveland, OH 44106 | 2017-12-26 |
| 1932637428 | Nicole Krushinski | Behavioral Analyst | 18151 Jefferson Park Rd, Cleveland, OH 44130-3496 | 2017-05-26 |
| 1891239505 | Allison Olmstead | Behavioral Analyst | 184 Hunters Run Pl Nw, Cleveland, TN 37312-6229 | 2016-12-14 |
| 1619321254 | Jacqueline Mazzolini | Behavioral Analyst | 1955 Oak St Nw, Cleveland, TN 37311-1941 | 2016-04-20 |
| 1740685726 | Meridith Silcox | Behavioral Analyst | 213 County Road 3890, Cleveland, TX 77328-3303 | 2014-11-03 |
| 1407262892 | Samantha Krauss | Behavioral Analyst | 2095 W 18th St, Cleveland, OH 44113-3504 | 2014-07-07 |
| 1053753491 | Jeannette Castillo | Behavioral Analyst | 495 Ocoee Hills Cir Ne, Cleveland, TN 37323-4538 | 2013-07-26 |
| Find all providers in CLEVELAND | ||||
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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.