SOUTHEAST BEHAVIORAL SERVICES (NPI# 1790285492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790285492 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST BEHAVIORAL SERVICES |
| Practice Address |
10721 Chapman Hwy Ste 22 Seymour TN 37865 |
| Mailing Address |
10721 Chapman Hwy Ste 22 Seymour TN 37865-4767 |
| Practice Telephone | 8135981337 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | CHAD SZALA (BEHAVIOR ANALYST) |
| Authorized Official Telephone | 6583128220 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 180 | TN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1416 Wenlock Rd, Knoxville, TN 379221422 | 2766985609 |
| Street Address |
10721 CHAPMAN HWY STE 22 |
| City | SEYMOUR |
| State | TN |
| Zip Code | 37865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351144 | Madison Alexandria Schantz | Speech-Language Pathologist | 10721 Chapman Hwy Ste 22, Seymour, TN 37865-4767 | 2020-09-17 |
| 1629634621 | Jordan Florencia Wilm | Speech-Language Pathologist | 10721 Chapman Hwy Ste 22, Seymour, TN 37865-4767 | 2019-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932645884 | Emma Love Gilmartin | Physician Assistant | 11606 Chapman Hwy Ste 2, Seymour, TN 37865 | 2017-01-17 |
| 1295065209 | Angela Kay Phifer | Acupuncturist | 10339 Chapman Hwy, Unit 2, Seymour, TN 37865 | 2010-01-14 |
| 1154596286 | Southeast Oral Surgery PC | Dentist | 11548 Chapman Hwy, Seymour, TN 37865 | 2008-04-29 |
| 1639358278 | Marta Finnegan | Case Manager/Care Coordinator | 1016 I.c. King Rd, Seymour, TN 37865 | 2007-10-31 |
| 1053590695 | Mary D Headrick | Registered Nurse | 1016 I. C. King Rd, Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1225217706 | Melissa L Blaque | Case Manager/Care Coordinator | 1016 I.c. King Rd., Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1841479318 | Ilene L Graham | Licensed Practical Nurse | 1061 I.c. King Rd., Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1851597272 | Bethany Ann Thomas | Dentist | 119 Maryville Highway, Suite B, Seymour, TN 37865 | 2007-06-22 |
| 1881800175 | Eric D Lee | Pharmacist | 1125 Creekside Village Way, Seymour, TN 37865 | 2007-05-15 |
| 1679799803 | Walter Edward Geldrich | Nurse Anesthetist, Certified Registered | 1545 Fawn Dr, Seymour, TN 37865 | 2007-04-17 |
| Find all providers in zip 37865 | ||||
| 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 |
|---|---|---|---|---|
| 1215552534 | Jaclyn Liposky | Behavioral Analyst | 12 Legion Rd, Seymour, CT 06483-3849 | 2020-06-11 |
| 1801443858 | Renew Behavior Services LLC | Behavioral Analyst | 524 N Elm St, Seymour, IN 47274-1902 | 2019-08-23 |
| 1962062687 | Jessica L Trochsler | Behavioral Analyst | 310 Roosevelt Dr, Seymour, CT 06483-2121 | 2019-06-14 |
| 1427360213 | Latosha Watts Lafferty | Behavioral Analyst | 322 Dupont Dr Ste C, Seymour, IN 47274-1764 | 2010-07-08 |
| 1194364778 | Christian Wayne Porter | Behavioral Analyst | 322 Dupont Dr Ste C, Seymour, IN 47274-1764 | 2019-12-31 |
| 1447702121 | Natalie Marie Haight | Behavioral Analyst | 322 Dupont Dr Ste C, Seymour, IN 47274-1764 | 2016-10-28 |
| 1043761778 | Lorien Konetzka | Behavioral Analyst | 322 Dupont Dr Ste C, Seymour, IN 47274-1764 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948477 | Raven S Taylor | Behavioral Analyst | 1124 Hatchie St, Brownsville, TN 38012-3427 | 2020-09-30 |
| 1104433630 | Appalachian Pediatric Therapy, LLC | Behavioral Analyst | 5400 Fort Henry Dr Ste 12, Kingsport, TN 37663-5304 | 2020-09-29 |
| 1659987808 | Alexandra Martini | Behavioral Analyst | 2201 Murphy Ave Ste 306, Nashville, TN 37203-1958 | 2020-09-22 |
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1730798455 | The Brook Center: Therapy Solutions, LLC | Behavioral Analyst | 2286 Jones Creek Rd, White Bluff, TN 37187-4213 | 2020-07-28 |
| 1669090163 | Leanne Rice | Behavioral Analyst | 612 Rockwell Dr, Cookeville, TN 38506-4986 | 2020-07-10 |
| 1003431966 | Ashley Brook Ruf | Behavioral Analyst | Po Box 1832, Dickson, TN 37056-1832 | 2020-06-16 |
| 1093339814 | Spectrum Therapeutic Learning Center, LLC | Behavioral Analyst | 2270 Thornton Taylor Pkwy Ste B, Fayetteville, TN 37334-3669 | 2020-06-08 |
| 1578186433 | Christina Lafferty Tucker | Behavioral Analyst | 2221 Kingtown Rd, Winfield, TN 37892-2233 | 2020-05-26 |
| 1144857764 | Common Thread Aba LLC | Behavioral Analyst | 1709 Colonial Ridge Rd, Johnson City, TN 37604-7624 | 2020-03-24 |
| 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.