CAROLINA MATTOS (NPI# 1770092363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770092363 |
| Entity Type | Individual |
| Full Name | CAROLINA MATTOS |
| Practice Address |
4402 Meanderwood Dr Burtonsville MD 20866 |
| Mailing Address |
4402 Meanderwood Dr Burtonsville MD 20866-2219 |
| Practice Telephone | 3012322090 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| 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 |
4402 MEANDERWOOD DR |
| City | BURTONSVILLE |
| State | MD |
| Zip Code | 20866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356717 | Kristin Sagun | Psychologist | 3901 National Drive, Suite #100, Burtonsville, MD 20866 | 2020-02-02 |
| 1093299208 | Jennifer L Wood | Doula | 4301 Ambrose Ct, Burtonsville, MD 20866 | 2018-09-24 |
| 1942728233 | Peggy Sue Bruce | Behavior Technician | 4401 Bender Court, Burtonsville, MD 20866 | 2017-09-06 |
| 1376919902 | Ovetta Lorraine Harris | Speech-Language Pathologist | 14705 Perrywood Drive, Burtonsville, MD 20866 | 2015-08-18 |
| 1639552540 | Theresia Ajenanyi Atechong | Home Health Aide | 13518 Greencastle Ridge Ter Apt 402, Burtonsville, MD 20866 | 2015-07-09 |
| 1720405111 | Benedict Obi | Registered Nurse | 4301 Sgar Pine Ct, Burtonsville, MD 20866 | 2014-03-24 |
| 1023430337 | Etienne Dimbeck | Home Health Aide | 3671 Autumn Glenn Circle, Boturnsville, MD 20866 | 2014-01-07 |
| 1295089001 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 15648 Old Columbia Pike, Burtonsville, MD 20866 | 2012-10-31 |
| 1538412515 | Dorothy Kembong Taylor | Home Health Aide | 43 Scarlet Sage Court, Burtonsville, MD 20866 | 2012-10-16 |
| 1265797609 | Jack S Djikiage | Home Health Aide | 3611 Autumn Glen Circle, Burtonsville, MD 20866 | 2012-07-11 |
| Find all providers in zip 20866 | ||||
| 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 |
|---|---|---|---|---|
| 1922626985 | Kelli Scheib | Behavior Technician | 14919 Athey Rd, Burtonsville, MD 20866-1603 | 2020-07-07 |
| 1942728233 | Peggy Sue Bruce | Behavior Technician | 4401 Bender Court, Burtonsville, MD 20866 | 2017-09-06 |
| 1629518485 | Oluwatomisin Adepoju | Behavior Technician | 14634 Mcknew Rd, Burtonsville, MD 20866-1354 | 2017-02-27 |
| 1760966212 | Millicent Dunbar | Behavior Technician | 4401 Bender Ct, Burtonsville, MD 20866-2230 | 2018-09-20 |
| 1912481755 | William Davis | Behavior Technician | 4401 Bender Ct, Burtonsville, MD 20866-2230 | 2018-09-18 |
| 1518441351 | Hericc King | Behavior Technician | 4401 Bender Ct, Burtonsville, MD 20866-2230 | 2018-09-18 |
| 1992289730 | Mellisa Hall | Behavior Technician | 4401 Bender Ct, Burtonsville, MD 20866-2230 | 2018-09-18 |
| 1700360716 | Davean Dwayne Smith | Behavior Technician | 4401 Bender Ct, Burtonsville, MD 20866-2230 | 2018-09-17 |
| 1639653652 | Anastasia Foster | Behavior Technician | 4401 Bender Ct, Burtonsville, MD 20866-2230 | 2018-09-17 |
| 1831673847 | Leeann Brady | Behavior Technician | 4401 Bender Ct, Burtonsville, MD 20866-2230 | 2018-09-17 |
| Find all providers in BURTONSVILLE | ||||
| City | BURTONSVILLE |
| Zip Code | 20866 |
Please comment or provide details below to improve the information on CAROLINA MATTOS.
| 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.