CAROLINA BEHAVIORAL SPECIALISTS, LLC (NPI# 1639609373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639609373 |
| Entity Type | Organization |
| Organization Name | CAROLINA BEHAVIORAL SPECIALISTS, LLC |
| Practice Address |
1529 Sam Rittenberg Blvd Unit 1-b Charleston SC 29407 |
| Mailing Address |
1529 Sam Rittenberg Blvd Ste 1b Charleston SC 29407-4125 |
| Practice Telephone | 8035506924 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | JULIE LONG (CEO) |
| Authorized Official Telephone | 8035506924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-15729 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811380876 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd Ste 1b, Charleston, SC 29407-4125 | 2015-03-13 |
| Street Address |
1529 SAM RITTENBERG BLVD UNIT 1-B |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164999413 | Lauren Perino | Behavior Technician | 1529 Sam Rittenberg Blvd, Charleston, SC 29407-4194 | 2018-10-25 |
| 1689155699 | Kira Hernandez | Behavior Technician | 1529 Sam Rittenberg Blvd, Charleston, SC 29407-4194 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| 1306219423 | Kasandra Ruettiger | Chiropractor | 1941 Savage Rd Suite 300d, Charleston, SC 29407 | 2015-11-11 |
| Find all providers in zip 29407 | ||||
| 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 |
|---|---|---|---|---|
| 1316562796 | Jennifer L Elkins | Behavioral Analyst | 4 Carriage Ln Ste 306, Charleston, SC 29407-6050 | 2020-06-11 |
| 1437613098 | Laura Willhoft | Behavioral Analyst | 4 Carriage Ln Ste 300h, Charleston, SC 29407-6050 | 2019-01-29 |
| 1063984300 | Alyssa Ann Buford | Behavioral Analyst | 1078 Wellington Ct, Charleston, SC 29412-4819 | 2018-12-27 |
| 1548792955 | Gretchen Bentz Fricker | Behavioral Analyst | 620 Clearview Dr, Charleston, SC 29412-4544 | 2017-04-03 |
| 1790227346 | Caley Ziegler | Behavioral Analyst | 170 Meeting St, Charleston, SC 29401-3153 | 2016-11-14 |
| 1760833453 | Jennifer Anne Mcdermott | Behavioral Analyst | 490 Woodland Shores Rd Apt B, Charleston, SC 29412-2427 | 2016-06-24 |
| 1801250642 | Nicholas Siemers | Behavioral Analyst | 1385 Ashley River Rd, Apt. 5a, Charleston, SC 29407-6385 | 2016-04-07 |
| 1093185613 | Lauryn White | Behavioral Analyst | 23 Line St, Apt B, Charleston, SC 29403-4915 | 2015-09-25 |
| 1386011633 | Judith Cholewicki | Behavioral Analyst | 2340 Treescape Dr, Unit 8, Charleston, SC 29414-6580 | 2015-08-21 |
| 1790151975 | Nicole Orsini | Behavioral Analyst | 67 Legare St, 305, Charleston, SC 29401-2445 | 2015-08-11 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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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.