MISS MELISSA JO KENNEDY (NPI# 1871089177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871089177 |
| Entity Type | Individual |
| Full Name | MISS MELISSA JO KENNEDY |
| Credential | MED |
| Practice Address |
8815 Columbia Parkway 4 Columbia MD 21045 |
| Mailing Address |
4112 Ulster Rd Beltsville MD 20705-2867 |
| Practice Telephone | 8777768502 |
| Mailing Telephone | 3016610505 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467837625 | Melissa Kennedy | Occupational Therapist | 10115 Nanford Rd, Cleveland, OH 44102-1652 | 2015-07-29 |
| 1760883086 | Melissa Jane Kennedy | Specialist/Technologist | 19 Sweetser Ter, Lynn, MA 01904-2608 | 2014-09-05 |
| 1598959876 | Melissa H Kennedy | Emergency Medicine | Msc 10-5550 1 University of New Mexico, Albuquerque, NM 87131-2745 | 2007-08-30 |
| 1497243380 | Melissa Kay Kennedy | Occupational Therapy Assistant | 9114 Royal Ln, Waco, TX 76712-8469 | 2018-04-25 |
| 1053818088 | Melissa Kennedy | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2018-04-06 |
| 1710424692 | Melissa Kennedy | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-01-30 |
| 1578966982 | Melissa Fay Kennedy | Anesthesiologist Assistant | 7700 W Sunrise Blvd, Plantation, FL 33322-4113 | 2014-09-29 |
| 1265878003 | Melissa Anne Kennedy | Physical Therapy Assistant | 9850 Old Perry Hwy, Wexford, PA 15090-9311 | 2013-05-20 |
| 1477800514 | Melissa Gray Kennedy | Social Worker | 2515 E Nc Highway 54, Buliding 2200, Durham, NC 27713-5263 | 2012-08-08 |
| 1598061830 | Melissa Joy Kennedy | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2011-02-03 |
| Street Address |
8815 COLUMBIA PARKWAY 4 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| 1306382601 | Chimene Castor | Nutritionist | 6218 Black Cherry Circle, Columbia, MD 21045 | 2017-01-10 |
| Find all providers in zip 21045 | ||||
| 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 |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1104423029 | Khashema Boyer | Behavior Technician | 8950 Rte 108 Ste 123, Columbia, MD 21045-2146 | 2020-10-04 |
| 1689281974 | Shalexis Wilson | Behavior Technician | 10360 Swift Stream Pl Apt 412, Columbia, MD 21044-4943 | 2020-09-30 |
| 1144834219 | Hanna Doherty | Behavior Technician | 350 Taylor St Unit G, Columbia, SC 29201-2292 | 2020-09-04 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1346859048 | Jessica Jane Russell | Behavior Technician | 1107 Carrie Bolin Dr, Columbia, KY 42728-1034 | 2020-07-28 |
| 1235748914 | Heather Marie Merchant | Behavior Technician | 5682 Stevens Forest Rd Apt 44, Columbia, MD 21045-3312 | 2020-07-28 |
| 1720606155 | Jennifer Michelle Cundiff | Behavior Technician | 309 Hurt St Apt 202, Columbia, KY 42728-2303 | 2020-07-13 |
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on MISS MELISSA JO KENNEDY.
| 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.