KELLY MARCHMAN (NPI# 1720430978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720430978 |
| Entity Type | Individual |
| Full Name | KELLY MARCHMAN |
| Credential | RBT |
| Practice Address |
554 Clubhouse Dr Se Conyers GA 30094-3710 |
| Mailing Address |
Po Box 170062 Atlanta GA 30317-0062 |
| Practice Telephone | 6786260557 |
| Mailing Telephone | 6786260557 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
554 CLUBHOUSE DR SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| 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 |
|---|---|---|---|---|
| 1659844009 | Aspy Holdings LLC. | Behavioral Analyst | 1775 Parker Rd Se Ste 210, Conyers, GA 30094-6654 | 2019-01-09 |
| 1639561905 | The Instructional Technology Design Group LLC | Behavioral Analyst | 2004 Eastview Pkwy, Suite 105, Conyers, GA 30013-5770 | 2015-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346664 | Dominique Infiniti Jones | Behavioral Analyst | 512 Windmont Dr Ne, Brookhaven, GA 30329-1041 | 2020-11-04 |
| 1720689318 | Javaris Paggett | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-02 |
| 1497355812 | Unique Solutions Behavior Services | Behavioral Analyst | 4258 Holliday Rd, Atlanta, GA 30349-8849 | 2020-10-26 |
| 1922607985 | Steps, LLC | Behavioral Analyst | 1321 Bramble Rd Ne, Atlanta, GA 30329-3503 | 2020-10-21 |
| 1699381475 | James E Faison | Behavioral Analyst | 2270 Dunwoody Xing, Apt B, Atlanta, GA 30338-7319 | 2020-09-17 |
| 1679188015 | Soracha Orourke | Behavioral Analyst | 880 Glenwood Ave Se, Atlanta, GA 30316-1825 | 2020-09-12 |
| 1336753862 | Megan Boucher | Behavioral Analyst | 5825 Glenridge Dr Ste 208, Atlanta, GA 30328-5387 | 2020-09-02 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1669084398 | Mallory Moore | Behavioral Analyst | 102 Mary Alice Park Rd Ste 304, Cumming, GA 30040-2683 | 2020-08-24 |
| 1619587631 | Ashaki Felix | Behavioral Analyst | 120 Millbrook Village Dr, Tyrone, GA 30290-3605 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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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.