JIMMY BRIAN SAMBULA (NPI# 1740726454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740726454 |
| Entity Type | Individual |
| Full Name | JIMMY BRIAN SAMBULA |
| Practice Address |
1017 Fayetteville Rd. Se Atlanta GA 30316 |
| Mailing Address |
340 Pecan Wood Circle Fairburn GA 30213 |
| Practice Telephone | 4044869034 |
| Mailing Telephone | 7708951313 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1017 FAYETTEVILLE RD. SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| 1235172388 | Bethanne Jenks | Pediatrics | 2006 Hosea Williams Dr, Atlanta, GA 30316 | 2006-06-14 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1730789504 | Fabian Alejandro Martinez | Behavior Technician | 470 16th St Nw Apt 1028, Atlanta, GA 30363-3003 | 2020-10-29 |
| 1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
| 1225636939 | Madison Smith | Behavior Technician | 1726 Defoor Ave Nw Unit B, Atlanta, GA 30318-7532 | 2020-10-14 |
| 1659988798 | Gael Lyn Westphal Clifton | Behavior Technician | 95 8th St Nw Apt 1309, Atlanta, GA 30309-4571 | 2020-09-23 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1992314686 | Alicia L Mack | Behavior Technician | 260 Peachtree St Nw Ste 2000, Atlanta, GA 30303-1239 | 2020-07-28 |
| 1811515539 | Kimberly Caito | Behavior Technician | 6849 Peachtree Dunwoody Rd Unit 1, Atlanta, GA 30328-1608 | 2020-07-09 |
| 1992329452 | Asia L Nelson | Behavior Technician | 3378 Greenbriar Pkwy Sw Apt 2304, Atlanta, GA 30331-2681 | 2020-06-01 |
| Find all providers in ATLANTA | ||||
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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.