DESIRAE ANN MAXWELL-WALSH (NPI# 1649806274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649806274 |
| Entity Type | Individual |
| Full Name | DESIRAE ANN MAXWELL-WALSH |
| Credential | BCABA |
| Practice Address |
901 Jersey Ave Spring Lake NJ 07762-1924 |
| Practice Telephone | 7328901387 |
| Mailing Telephone | 7328901387 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
901 JERSEY AVE |
| City | SPRING LAKE |
| State | NJ |
| Zip Code | 07762-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700214723 | Stefanie Granzin | Marriage & Family Therapist | 10 Devon Court, Spring Lake, NJ 07762 | 2013-10-30 |
| 1770747610 | Mariela J Pazos | Veterinarian | 410 Essex Ave, Spring Lake, NJ 07762 | 2008-07-10 |
| 1033384730 | Nicholas F Graziano | Dentist | 101 Rt 46 West, Saddlebrook, NJ 07762 | 2008-04-24 |
| 1427187475 | Jennifer Easton Slovak | Social Worker | 712 Wall Road, Spring Lake Heights, NJ 07762 | 2007-03-05 |
| 1265527014 | John Paul Vetovick | Dentist | 2028 Hwy 71, Spring Lake Hts, NJ 07762 | 2006-10-04 |
| 1780778357 | John Charles | Marriage & Family Therapist | 1405 Third Ave, Spring Lake, NJ 07762 | 2006-10-03 |
| 1922036367 | Phillip J Lobuono | Dermatology | 211 Highway 71, Spring Lake Heights, NJ 07762 | 2006-06-28 |
| 1962448035 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2006 State Highway 35, Springlake, NJ 07762 | 2006-06-20 |
| 1235107269 | Joseph A Duddy IIi | Dentist | 1010 Highway 71, Spring Lake Heights, NJ 07762 | 2006-03-08 |
| 1730153321 | Paul A Pardon | Internal Medicine | 512 Warren Ave., Spring Lake, NJ 07762 | 2006-02-13 |
| Find all providers in zip 07762 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1639634868 | Taylor Paige Tadlock | Assistant Behavior Analyst | 1018 N Bragg Blvd, Spring Lake, NC 28390-3316 | 2019-02-01 |
| 1255875902 | Nakita Harris | Assistant Behavior Analyst | 1018 N Bragg Blvd, Spring Lake, NC 28390-3316 | 2016-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891894 | Amanda Kucevic | Assistant Behavior Analyst | 514 Moore Street, Hackettstown, NJ 07840 | 2020-08-12 |
| 1184234585 | Tanya Gaskins | Assistant Behavior Analyst | 446 Prospect St Apt 3k, East Orange, NJ 07017-3112 | 2020-07-31 |
| 1124656012 | Dawn Marie Schapira | Assistant Behavior Analyst | 4 Treeman Dr Unit 304, Hillsborough, NJ 08844-4783 | 2020-03-28 |
| 1730715368 | Debora Gladis | Assistant Behavior Analyst | 1581 Chester Ave, Whiting, NJ 08759-3327 | 2020-03-16 |
| 1649805581 | Growth Street Aba | Assistant Behavior Analyst | 28 Walnut Pkwy Apt 2, Montclair, NJ 07042-4958 | 2020-03-11 |
| 1538799382 | Golden Steps Aba Nj LLC | Assistant Behavior Analyst | 411 Hackensack Ave Fl 200, Hackensack, NJ 07601-6331 | 2020-01-21 |
| 1962068726 | Hearts N Minds Inc. | Assistant Behavior Analyst | 44 Saddle Way, Chesterfield, NJ 08515-2920 | 2019-05-16 |
| 1033675855 | Shelby Anne Horton | Assistant Behavior Analyst | 1100 W Buckshutem Rd, Millville, NJ 08332-7136 | 2019-02-17 |
| 1760955629 | Sheritta Dupree | Assistant Behavior Analyst | 7 Mariners Cv, Freehold, NJ 07728-3702 | 2019-01-03 |
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| Find all providers with the same taxonomy | ||||
| City | SPRING LAKE |
| Zip Code | 07762 |
Please comment or provide details below to improve the information on DESIRAE ANN MAXWELL-WALSH.
| 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.