KAYLEN HENDRIX (NPI# 1619435419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619435419 |
| Entity Type | Individual |
| Full Name | KAYLEN HENDRIX |
| Practice Address |
225 Millard Farmer Industrial Blvd Bldg B Suite 100 Newnan GA 30263-3026 |
| Mailing Address |
10175 Fortune Pkwy Unit 903 Jacksonville FL 32256-6755 |
| Practice Telephone | 4704003177 |
| Practice Fax Number | 9045380714 |
| Mailing Telephone | 9045380713 |
| Mailing Fax Number | 9045380714 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-80593 | GA | Behavioral Health & Social Service Providers |
| Street Address |
225 MILLARD FARMER INDUSTRIAL BLVD BLDG B SUITE 100 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| 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 |
|---|---|---|---|---|
| 1609477694 | Elizabeth Cobb | Behavior Technician | 2147 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2020-11-05 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1649877036 | Samantha Romano | Behavior Technician | 225 Millard Farmer Ind Blvd Ste 100, Newnan, GA 30263-3168 | 2020-10-08 |
| 1811594245 | Tamia Hurst | Behavior Technician | 225 Millard Farmer Ind Blvd Ste 100, Newnan, GA 30263-3168 | 2020-10-08 |
| 1568069904 | Kasey Hosier | Behavior Technician | 112 Jefferson St, Newnan, GA 30263 | 2020-10-08 |
| 1275130528 | Alexander Callocchio | Behavior Technician | 225 Millard Farmer Ind Blvd Ste 100, Newnan, GA 30263-3168 | 2020-10-08 |
| 1124641485 | Yesenia Palma | Behavior Technician | 112 Jefferson Street, Newnan, GA 30263 | 2020-05-21 |
| 1801427000 | Lisa L Patch | Behavior Technician | 112 Jefferson Street, Newnan, GA 30263 | 2020-01-28 |
| 1487290722 | Morgan Alexis Clark | Behavior Technician | 112 Jefferson St, Newnan, GA 30263 | 2019-11-21 |
| 1013552017 | Rachael Fuller Wallace | Behavior Technician | 112 Jefferson Pkwy, Newnan, GA 30263-5885 | 2019-11-13 |
| Find all providers in NEWNAN | ||||
Please comment or provide details below to improve the information on KAYLEN HENDRIX.
| 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.