LACEY LONG (NPI# 1841805520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841805520 |
| Entity Type | Individual |
| Full Name | LACEY LONG |
| Practice Address |
941 Professional Park Dr Clarksville TN 37040-5137 |
| Practice Telephone | 6153760034 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
941 PROFESSIONAL PARK DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124688965 | Hannah Cromer | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-3704 | 2019-06-14 |
| 1629679568 | Breana Lege | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-11-06 |
| 1649871062 | Erika Krstic | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-11-03 |
| 1922609346 | Lauren Langley | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-11-03 |
| 1538766001 | Alexis Gabelmann | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-10-07 |
| 1811503071 | Jordan Gibbs-francis | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-09-22 |
| 1528670700 | Angel Buchanan | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-08-19 |
| 1720698343 | Jennifer Hicks | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-08-07 |
| 1962028860 | Kori Sumner | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-06-17 |
| 1265057848 | Katelynn Deep | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1871105353 | Haley Armacost | Behavioral Analyst | 13850 Wayside Dr, Clarksville, MD 21029-1305 | 2020-08-17 |
| 1497303960 | Qusayy M. Godbolt | Behavioral Analyst | 1207 Snowball Ln, Clarksville, TN 37042-7855 | 2019-08-28 |
| 1053896811 | Chelsea E Carter | Behavioral Analyst | 2284 Raleigh Ct # A, Clarksville, TN 37043-1945 | 2018-09-27 |
| 1396255402 | Layarada Rawlins | Behavioral Analyst | 2277 Wilma Rudolph Blvd Ste C, Clarksville, TN 37040-6161 | 2017-10-03 |
| 1366969982 | Amanda Elliott | Behavioral Analyst | 1008 Ishee Dr, Clarksville, TN 37042-6672 | 2017-08-24 |
| 1659809978 | Rachel Allison Olive | Behavioral Analyst | 2116 Richview Pl, Clarksville, TN 37043 | 2017-05-31 |
| 1841749728 | Brittany Farmer | Behavioral Analyst | 941 Professional Park Drive, Clarksville, TN 37043 | 2016-10-03 |
| 1497112775 | Sara Hibpshman | Behavioral Analyst | 139 E Old Trenton Rd Ste B, Clarksville, TN 37043-5845 | 2016-01-18 |
| 1396128773 | Kelly Michelle Tait | Behavioral Analyst | 1253 Judge Tyler Dr, Clarksville, TN 37043-1423 | 2015-07-03 |
| 1174905194 | Megaera Rye | Behavioral Analyst | 1401 Buchanon Dr, Clarksville, TN 37042-3347 | 2015-06-25 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.