KENNETH BASKETT (NPI# 1861819658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861819658 |
| Entity Type | Individual |
| Full Name | KENNETH BASKETT |
| Practice Address |
4405 Mall Blvd Suite 200 Union City GA 30291-2044 |
| Practice Telephone | 7799694309 |
| Practice Fax Number | 7709694170 |
| Mailing Telephone | 7799694309 |
| Mailing Fax Number | 7709694170 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |
| Gender Code | M |
| 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 |
4405 MALL BLVD SUITE 200 |
| City | UNION CITY |
| State | GA |
| Zip Code | 30291-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205166501 | Melanie L. Ponder-wright | Social Worker | 4405 Mall Blvd, Union City, GA 30291-2044 | 2010-01-08 |
| 1992344592 | Deborah Ann Bean | Registered Nurse | 4405 Mall Blvd, Union City, GA 30291-2044 | 2019-12-30 |
| 1578013751 | Epiphany Healthcare Systems, Inc | Counselor | 4405 Mall Blvd, Suite 315, Union City, GA 30291-2044 | 2016-10-11 |
| 1962829754 | Dante Charles I | Counselor | 4405 Mall Blvd, Suite 200, Union City, GA 30291-2044 | 2014-03-18 |
| 1194158220 | Dwight A Porter | Counselor | 4405 Mall Blvd, Suite 200, Union City, GA 30291-2044 | 2013-08-13 |
| 1669738621 | The Right Choice Behavioral Services, LLC | Counselor | 4405 Mall Blvd, Suite 310, Union City, GA 30291-2044 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801392436 | Danyell Smith | Counselor | 234 Elkhound Court, Union City, GA 30291 | 2018-04-03 |
| 1619221033 | Renee Anne Critten-young | Hospice Care, Community Based | 4788 Jonesboro Rd, Suite A, Union City, GA 30291 | 2012-11-07 |
| 1891066544 | Dena Renee White | Occupational Therapist | 9535 Lakeview Rd, Union City, GA 30291 | 2012-01-25 |
| 1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
| 1760558407 | Thelma Teresa Spears | Dentist | 4731 Jonesboro Rd, 220, Union City, GA 30291 | 2006-11-27 |
| 1629168208 | Wal-mart Stores East, Lp | Technician/Technologist | 4375 Jonesboro Rd., Union City, GA 30291 | 2006-10-13 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1841220944 | F & M Family Eyecare, LLC | Optometrist | 4375 Jonesboro Road, Union City, GA 30291 | 2006-07-04 |
| 1538367537 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3940 Jonesboro Rd., Union City, GA 30291-0000 | 2007-07-11 |
| 1679819692 | To The Root of Things | Durable Medical Equipment & Medical Supplies | 6077 Bena Ct, Union City, GA 30291-1044 | 2012-12-19 |
| Find all providers in zip 30291 | ||||
| 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 |
|---|---|---|---|---|
| 1619588118 | Individualized Aba Services for Families | Behavioral Analyst | 33779 Dalton Ct, Union City, CA 94587-3217 | 2020-08-10 |
| 1386287167 | Gette Hoji Shabir | Behavioral Analyst | 34800 11th St Apt 259, Union City, CA 94587-8556 | 2019-10-23 |
| 1114580800 | Abigail Karon Kelley | Behavioral Analyst | 3804 Shinglewood Ct, Union City, CA 94587 | 2019-04-17 |
| 1760948384 | Marissa E Evangelisa | Behavioral Analyst | 4512 Mackinaw St, Union City, CA 94587-5920 | 2019-02-19 |
| 1366926073 | Kryzzel Mascardo | Behavioral Analyst | 3258 Santa Monica Way, Union City, CA 94587-2738 | 2018-09-18 |
| 1588147151 | Tiffany Monsalud | Behavioral Analyst | 1889 Serpentine Dr, Union City, CA 94587-4687 | 2018-09-10 |
| 1538653803 | Zaira Ramirez | Behavioral Analyst | 362 Teddy Dr, Union City, CA 94587 | 2018-06-19 |
| 1780177766 | Grace Chiem | Behavioral Analyst | 33300 Mission Blvd, Union City, CA 94587-1463 | 2018-06-13 |
| 1023531779 | Dawn Christine Holderfield | Behavioral Analyst | 33635 9th St, Appt. 1, Union City, CA 94587 | 2017-07-24 |
| 1972031466 | Eloisa Panopio | Behavioral Analyst | 4372 Queen Anne Drive, Union City, CA 94587 | 2017-05-26 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 30291 |
Please comment or provide details below to improve the information on KENNETH BASKETT.
| 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.