GINA STOVALL (NPI# 1801366406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801366406 |
| Entity Type | Individual |
| Full Name | GINA STOVALL |
| Credential | RBT |
| Practice Address |
1100 Circle Drive Suite 101 Fort Worth TX 76119 |
| Practice Telephone | 8175661100 |
| Practice Fax Number | 8175366945 |
| Mailing Telephone | 8175661100 |
| Mailing Fax Number | 8175366945 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1107 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BEHAVIOR ANALYST CERTIFICATION BOARD (BACB) | 18-69273 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639383292 | Gina Stovall | Social Worker | 323 W Michigan Ave, Jackson, MI 49201-2120 | 2007-05-10 |
| Street Address |
1100 CIRCLE DRIVE SUITE 101 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| 1063748853 | Mhmr-tc | Community/Behavioral Health | 1200 Circle Drive Ste 400b, Ft Worth, TX 76119 | 2009-10-29 |
| Find all providers in zip 76119 | ||||
| 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 |
|---|---|---|---|---|
| 1760094114 | Jennifer Brown | Behavioral Analyst | 4159 Sarasota Springs Ct, Fort Worth, TX 76123-1465 | 2020-08-18 |
| 1467076349 | Kaitlyn Leigh Steiner | Behavioral Analyst | 2790 Keller Hicks Rd, Fort Worth, TX 76244-9610 | 2020-06-05 |
| 1881214211 | Prime Time Aba-bilingual Therapy LLC | Behavioral Analyst | 6747 Silver Sage Dr, Fort Worth, TX 76137-1840 | 2020-04-27 |
| 1750900478 | Fort Physicians & Professionals Pllc | Behavioral Analyst | 5833 Oak Bend Trail, Fort Worth, TX 76132-3900 | 2020-04-13 |
| 1952934234 | Peace By Piece Therapy LLC | Behavioral Analyst | 1805 Velarde Rd, Fort Worth, TX 76131-2534 | 2020-02-14 |
| 1518597160 | Clearfork Behavior Services LLC | Behavioral Analyst | 7305 Fuller Cir, Fort Worth, TX 76133-6901 | 2020-01-23 |
| 1437790102 | Tanya Danielle Corza | Behavioral Analyst | 2932 Sawtimber Trl, Fort Worth, TX 76244-9404 | 2019-10-03 |
| 1467004861 | Cara Kelso | Behavioral Analyst | 305 W Broadway Ave, Fort Worth, TX 76104-1238 | 2019-07-15 |
| 1386205060 | Hayley Alexandra Friend | Behavioral Analyst | 3450 River Park Dr Apt 831a, Fort Worth, TX 76116-0709 | 2019-06-24 |
| 1962970376 | A Step Above Therapy Solutions LLC | Behavioral Analyst | 1421 Weiler Blvd, Fort Worth, TX 76112-2905 | 2018-11-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on GINA STOVALL.
| 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.