SOUTHERN MISS AUTISM RESEARCH TEAM (SMART) CLINIC (NPI# 1700272432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700272432 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MISS AUTISM RESEARCH TEAM (SMART) CLINIC |
| Other Organization Name | UNIVERSITY OF SOUTHERN MISSISSIPPI |
| Practice Address |
118 College Dr Box 5025 University of Southern Mississippi Hattiesburg MS 39406-0001 |
| Practice Telephone | 6012665025 |
| Mailing Telephone | 6012665025 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | DR. JAMES W MOORE (BEHAVIOR ANALYST) |
| Authorized Official Telephone | 6012664611 |
| Authorized Official Credential | BCBA-D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-02-0968 | MS | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| University of Southern Mississippi | Other Name - Individual/Organization |
| Street Address |
118 COLLEGE DR BOX 5025 UNIVERSITY OF SOUTHERN MISSISSIPPI |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39406-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427559731 | Regan Ashley Nicholson I | Specialist/Technologist | 118 College Dr., Hattiesburg, MS 39406 | 2018-02-22 |
| 1083038590 | Christopher Clapton | Specialist/Technologist | 118 College Dr # 5017, Hattiesburg, MS 39406 | 2014-02-05 |
| 1407992233 | Katherine White | Nurse Practitioner | 118 College Dr, #5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1689710410 | Jacqueline Anne Wiebe | Psychiatry & Neurology | 118 College Dr, 5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1982740718 | Bennett E Smith Jr. | General Practice | 118 College Dr, 5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1396225025 | Leslie Oglesby | Specialist/Technologist | 118 College Dr # 5122, Hattiesburg, MS 39406-0001 | 2018-08-21 |
| 1689033268 | Chandra Nicole Strange | Psychologist | 118 College Dr # 5025, Hattiesburg, MS 39406-0001 | 2016-02-11 |
| 1710359922 | Chantel Nicole Chatham | Dietitian, Registered | 118 College Dr # 5114, Hattiesburg, MS 39406-0001 | 2015-10-27 |
| 1659781474 | Stephen Craig English Jr. | Physician Assistant | 118 College Dr Box 5066, Hattiesburg, MS 39406-0001 | 2014-05-01 |
| 1215273032 | University of Southern Mississippi | Speech-Language Pathologist | 118 College Dr Box 5215, Hattiesburg, MS 39406-0001 | 2012-12-26 |
| Find all providers in zip 39406 | ||||
| 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 |
|---|---|---|---|---|
| 1073098877 | Lana Kathryn Warren | Behavioral Analyst | 2180 Oak Grove Rd, Hattiesburg, MS 39402 | 2018-09-27 |
| 1326523168 | Mark G Yeager | Behavioral Analyst | 2180 Oak Grove Rd., Hattiesburg, MS 39402 | 2018-09-27 |
| 1538679238 | Brighter Horizons Therapy, LLC | Behavioral Analyst | 912 W Pine St, Hattiesburg, MS 39401-4262 | 2017-10-07 |
| 1083124291 | Melanie Lester Dale | Behavioral Analyst | 77 Saint Annes Dr, Hattiesburg, MS 39401-8252 | 2017-10-03 |
| 1700266947 | Kayla Elizabeth Bates-brantley | Behavioral Analyst | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402 | 2015-06-03 |
| 1053686154 | Traci Taber | Behavioral Analyst | 802 Myrtle St, Hattiesburg, MS 39401-4851 | 2012-03-21 |
| 1952673915 | Will's Way, LLC | Behavioral Analyst | 22 Millbranch Rd Ste 1200, Hattiesburg, MS 39402 | 2012-02-06 |
| 1487271599 | Marshall Parker Lundy | Behavioral Analyst | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-07-06 |
| 1114443579 | Cassady Coco | Behavioral Analyst | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2017-08-17 |
| 1588103766 | Meleah Ackley | Behavioral Analyst | 22 Millbranch Rd, #200, Hattiesburg, MS 39402-1670 | 2017-02-21 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39406 |
Please comment or provide details below to improve the information on SOUTHERN MISS AUTISM RESEARCH TEAM (SMART) CLINIC.
| 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.