BEVERLY TIERRA WALDEN (NPI# 1619595766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619595766 |
| Entity Type | Individual |
| Full Name | BEVERLY TIERRA WALDEN |
| Practice Address |
527 N Maple St Murfreesboro TN 37130-2833 |
| Practice Telephone | 5015743053 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
527 N MAPLE ST |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37130-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578557690 | Arikana C. Chihombori | Family Medicine | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2005-09-02 |
| 1356941165 | Jwanna Duke | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-10-30 |
| 1417555160 | Amber Nicole Montgomery | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-10-14 |
| 1568073641 | Kayla Paige Holthouse | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-08-12 |
| 1063022267 | Gracen Leigh Crosslin | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-08-03 |
| 1174132187 | Elijah Dickerson | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-07-26 |
| 1760090393 | Karli Joslin | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-07-20 |
| 1720696842 | Katelyn Leigh Dion | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-07-14 |
| 1730707423 | Kaylee Michelle Lane | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-07-08 |
| 1871119248 | Romelia Kay Hough | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760954374 | Ginger Marie Nolan | Speech-Language Pathologist | 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 | 2018-12-20 |
| 1710480835 | Winter Calvert Cullen | Chiropractor | 925 S. Church St. A200, Murfreesboro, TN 37130 | 2018-03-15 |
| 1821598368 | Carolina Lira | Social Worker | 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 | 2018-02-20 |
| 1003314477 | Sarah Elizabeth Howard | Recreation Therapist | 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 | 2018-01-31 |
| 1871012864 | Adam Gerard Fedewa | Physical Therapy Assistant | 1207woods Edge Dr, Murfreesboro, TN 37130 | 2017-09-12 |
| 1972027860 | Teri Andrea White | Specialist | 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 | 2017-08-01 |
| 1295285120 | Bethany Ann Malugin | Nurse Practitioner | 324 S. Bilbro Ave., Murfreesboro, TN 37130 | 2016-10-04 |
| 1982080636 | Lisa Anne Davis | Massage Therapist | 416 North Front Street, Murfreesboro, TN 37130 | 2015-08-05 |
| 1568844488 | Dental Excellence | Dentist | 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 | 2015-06-27 |
| 1932545134 | Burma Collins Developmental Services | Home Health | 2161 Slater Drive, Mufressboro, TN 37130 | 2013-05-14 |
| Find all providers in zip 37130 | ||||
| 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 |
|---|---|---|---|---|
| 1356941165 | Jwanna Duke | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-10-30 |
| 1417555160 | Amber Nicole Montgomery | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-10-14 |
| 1568073641 | Kayla Paige Holthouse | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-08-12 |
| 1063022267 | Gracen Leigh Crosslin | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-08-03 |
| 1174132187 | Elijah Dickerson | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-07-26 |
| 1760090393 | Karli Joslin | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-07-20 |
| 1720696842 | Katelyn Leigh Dion | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-07-14 |
| 1730707423 | Kaylee Michelle Lane | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-07-08 |
| 1871119248 | Romelia Kay Hough | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-06-22 |
| 1891311262 | Charvez Mcclure | Behavior Technician | 527 N Maple St, Murfreesboro, TN 37130-2833 | 2020-06-22 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37130 |
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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.