CHRISTINA JOY ANTOLICK (NPI# 1639608037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639608037 |
| Entity Type | Individual |
| Full Name | CHRISTINA JOY ANTOLICK |
| Practice Address |
1007 Lenton Ave Baltimore MD 21212 |
| Mailing Address |
1007 Lenton Ave Baltimore MD 21212-3212 |
| Practice Telephone | 4439859184 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MD | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1007 LENTON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| Find all providers in zip 21212 | ||||
| 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 |
|---|---|---|---|---|
| 1417556549 | Andrea Gadsby | Behavior Technician | 6225 Smith Ave Ste 100, Baltimore, MD 21209-3678 | 2020-10-20 |
| 1922605492 | Scott Miliman | Behavior Technician | 8207 Bendon Rd, Baltimore, MD 21208-1821 | 2020-10-07 |
| 1649877176 | Mary Elizabeth Reznick | Behavior Technician | 352 Nicholson Rd, Baltimore, MD 21221-6608 | 2020-10-07 |
| 1750988283 | Nathaniel Carlton Fortier | Behavior Technician | 1203 Windemere Ave, Baltimore, MD 21218-3014 | 2020-10-07 |
| 1457958076 | Katherine Hughes | Behavior Technician | 727 W 40th St Apt 337, Baltimore, MD 21211-2341 | 2020-10-06 |
| 1851998991 | Breanna Beardsley | Behavior Technician | 6225 Smith Ave, Baltimore, MD 21209-3626 | 2020-10-01 |
| 1730796160 | Toni Tawes | Behavior Technician | 7926 N Boundary Rd, Baltimore, MD 21222-3335 | 2020-09-29 |
| 1578170072 | Naloni Simone Johnson | Behavior Technician | 2500 Winchester St Apt B, Baltimore, MD 21216-4435 | 2020-09-28 |
| 1275140063 | Lea Mccray | Behavior Technician | 132 N Potomac St, Baltimore, MD 21224-1337 | 2020-09-25 |
| 1356958227 | Erica Kelley | Behavior Technician | 4326 Newport Ave, Baltimore, MD 21211-1233 | 2020-09-25 |
| Find all providers in BALTIMORE | ||||
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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.