LOURENCO FERNANDES S TAVARES (NPI# 1760921431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760921431 |
| Entity Type | Individual |
| Full Name | LOURENCO FERNANDES S TAVARES |
| Practice Address |
500 Victory Rd Quincy MA 02171-3139 |
| Practice Telephone | 6178471950 |
| Practice Fax Number | 6177741490 |
| Mailing Telephone | 6178471950 |
| Mailing Fax Number | 6177741490 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | MA | Behavioral Health & Social Service Providers |
| Street Address |
500 VICTORY RD |
| City | QUINCY |
| State | MA |
| Zip Code | 02171-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265462477 | Ajita Purohit | Social Worker | 500 Victory Rd, Bayview Associates, Quincy, MA 02171-3139 | 2006-07-04 |
| 1265030191 | Benjamin Miele | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-10-13 |
| 1447861364 | Juliana Lee Willey | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-13 |
| 1437760725 | John Francis Mannion | Registered Nurse | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-11 |
| 1306456488 | Abigail R Hennigan | Music Therapist | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-04 |
| 1225647191 | Delaney Elaine Hauck | Social Worker | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-07-27 |
| 1760007090 | Lorain Clair Baeumler | Registered Nurse | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-12 |
| 1346865052 | Kyle Christopher Leonard | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-09 |
| 1649895400 | Jessica Anderson | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-08 |
| 1669094884 | Lisa Lopes | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1902397631 | Kristen Spain | Registered Nurse | 110 West Squantum St., North Quincy, MA 02171 | 2018-05-29 |
| 1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
| 1386163699 | Sophonie Belizaire | Assistant Behavior Analyst | South Shore Mental Health, 500 Victory Rd., Quincy, MA 02171 | 2017-09-18 |
| 1306209168 | Katherine R Standish | Family Medicine | 110 W Squantum St Ste 8, North Quincy, MA 02171 | 2016-03-30 |
| 1669852778 | Joseph Odom | Counselor | 43 Old Colony Road, Quincy, MA 02171 | 2015-06-03 |
| 1578825436 | Hoi Yuk Pang | Counselor | 1 Billings Rd, Quincy, MA 02171 | 2012-06-15 |
| 1275862526 | Naeemah Tahira Smith | Counselor | 210a Quincy Shore Dr, Quincy, MA 02171 | 2009-12-16 |
| 1386876779 | Mark Everds | Counselor | 97 Holmes Street, 2nd Floor, North Quincy, MA 02171 | 2009-08-18 |
| 1306014741 | Ping-chiu Chan | Acupuncturist | Chinese Medical Center, 38 Billings Road, Quincy, MA 02171 | 2008-02-20 |
| Find all providers in zip 02171 | ||||
| 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 |
|---|---|---|---|---|
| 1689160319 | Vanessa Monti | Behavioral Analyst | 1266 Furnace Brook Pkwy Ste 410, Quincy, MA 02169-4778 | 2018-07-05 |
| 1598262321 | Esraa M Al-jubory | Behavioral Analyst | 66 Tirrell St Apt 1, Quincy, MA 02171-1661 | 2018-04-09 |
| 1891223400 | Kelle Leigh Schlueter | Behavioral Analyst | 1229 Harrison Plz, Quincy, IL 62305-6106 | 2017-05-25 |
| 1750780755 | Diana S Puerta | Behavioral Analyst | 25 Morton St Apt 210, Quincy, MA 02169 | 2014-08-15 |
| 1457771743 | Jaclyn Farrar | Behavioral Analyst | 76 Macy St, Quincy, MA 02169-3640 | 2014-04-24 |
| 1144509092 | Annie Christian Davis | Behavioral Analyst | 155 Babcock St, Quincy, MA 02169-2941 | 2011-08-10 |
| 1902110448 | Danika Nicole Demarie | Behavioral Analyst | 86 Cranch St, Quincy, MA 02169-1804 | 2010-07-26 |
| 1558969360 | Justin Leboeuf | Behavioral Analyst | 1266 Furnace Brook Pkwy Ste 410, Quincy, MA 02169-4778 | 2020-10-14 |
| 1962927889 | Raven-seymone Johnson | Behavioral Analyst | 460 Quincy Ave, Quincy, MA 02169-8130 | 2017-08-11 |
| 1407386584 | Keyla Joanell Kelley | Behavioral Analyst | 16 Moon Island Rd, Quincy, MA 02171-1034 | 2017-06-12 |
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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.