SALLY M WAY TULLY (NPI# 1700127206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700127206 |
| Entity Type | Organization |
| Organization Name | SALLY M WAY TULLY |
| Other Organization Name | ABA THERAPY CENTER |
| Practice Address |
10164 Ford Ave Ste D Richmond Hill GA 31324-3948 |
| Mailing Address |
Po Box 1822 Richmond Hill GA 31324-1822 |
| Practice Telephone | 9126601100 |
| Mailing Telephone | 9126601100 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | MRS. SALLY M WAY TULLY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9126601100 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-13-12747 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BEHAVIOR ANALYST CERTIFICATION BOARD | 1-13-12747 | 01 |
| Other Name | Type Code |
|---|---|
| ABA Therapy Center | Doing Business As Name - Organization |
| Street Address |
10164 FORD AVE STE D |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659923951 | Garland Summers | Assistant Behavior Analyst | 10164 Ford Ave Ste D, Richmond Hill, GA 31324-3948 | 2019-07-16 |
| 1770969503 | Jeremy Holt | Behavioral Analyst | 10164 Ford Ave Ste D, Richmond Hill, GA 31324-3948 | 2015-08-04 |
| 1811316698 | Aba Therapy Center LLC | Behavioral Analyst | 10164 Ford Ave Ste D, Richmond Hill, GA 31324-3948 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| 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 |
|---|---|---|---|---|
| 1124662804 | Behavior Analysis Services | Behavioral Analyst | 315 Oak Pointe Dr, Richmond Hill, GA 31324-5316 | 2019-11-05 |
| 1023411428 | Cheryl Esch | Behavioral Analyst | 135 Cedar St., Richmond Hill, GA 31324 | 2014-09-30 |
| 1972903698 | Christi Lee Brock Martin | Behavioral Analyst | 10221 Ford Ave Ste 1, Richmond Hill, GA 31324-0259 | 2014-08-29 |
| 1982019782 | Sadie Vercauteren | Behavioral Analyst | 3766 Hwy 17 Ste 301, Richmond Hill, GA 31324 | 2014-07-01 |
| 1043625544 | Fay Bliume | Behavioral Analyst | 8387 115th St, Richmond Hill, NY 11418-1304 | 2014-06-24 |
| 1396188389 | Tammy Carroll | Behavioral Analyst | 10 Long Creek Ln, Richmond Hill, GA 31324-8601 | 2013-04-10 |
| 1982944815 | Belinda M Montelbano | Behavioral Analyst | 3766 Us Highway 17 Ste 301, Richmond Hill, GA 31324-8876 | 2013-03-01 |
| 1386929099 | France Georgette America | Behavioral Analyst | 127-04 97th Avenue, Richmond Hill, NY 11419 | 2011-10-13 |
| 1538498167 | Lindsey Merritt | Behavioral Analyst | 2451 Us Highway 17 Ste B, Richmond Hill, GA 31324-3397 | 2009-12-10 |
| 1073110854 | Beyond Measures Therapy LLC | Behavioral Analyst | 88 William Hall Way, Richmond Hill, GA 31324-5933 | 2020-10-05 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
Please comment or provide details below to improve the information on SALLY M WAY TULLY.
| 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.