MRS. BROOKE SHANNON CUNDIFF (NPI# 1861960262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861960262 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE SHANNON CUNDIFF |
| Practice Address |
404 Rives Rd Martinsville VA 24112-4327 |
| Mailing Address |
1045 Main St Ste 2 Danville VA 24541-1800 |
| Practice Telephone | 2763406124 |
| Mailing Telephone | 2763406124 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| 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 |
404 RIVES RD |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| 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 |
|---|---|---|---|---|
| 1821699745 | Stepanie Rush | Behavior Technician | 602 Battle Ave, Winchester, VA 22601-5629 | 2020-11-06 |
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1982203139 | Cenata Alexandria Jackson | Behavior Technician | 7353 Whitepine Rd Bldg G, Richmond, VA 23237-2260 | 2020-10-20 |
| 1639776289 | Georgia Elizabeth Healy | Behavior Technician | 4740 Berrywood Rd, Virginia Beach, VA 23464-5868 | 2020-10-07 |
| 1245847607 | Olando Wayne Fuller | Behavior Technician | 2605 Eagle Rock Ct, Chester, VA 23831-7051 | 2020-09-29 |
| 1083220172 | Ariella Yvonne Ramirez | Behavior Technician | 2860 Myrtlewood Drive, Dumfries, VA 22026 | 2020-09-23 |
| 1124634084 | Jennifer Wheeler | Behavior Technician | 325 Woodards Ford Rd, Chesapeake, VA 23322-4348 | 2020-09-16 |
| 1992311955 | Sara Homer | Behavior Technician | 348 Southport Cir Ste 101, Virginia Beach, VA 23452-1181 | 2020-09-16 |
| 1578178877 | Jacqueline Villatoro | Behavior Technician | 124 Township Ct, Stephens City, VA 22655-2964 | 2020-09-14 |
| 1447865696 | Aminata Banya Koroma | Behavior Technician | 6180 Grovedale Ct Ste 2006180, Alexandria, VA 22310-2552 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.