KATHERINE FUSSELL (NPI# 1881102507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881102507 |
| Entity Type | Individual |
| Full Name | KATHERINE FUSSELL |
| Practice Address |
6100 Veterans Pkwy Ste 11 Columbus GA 31909-3514 |
| Practice Telephone | 7062218966 |
| Mailing Telephone | 7062218966 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 17-28596 | GA | Behavioral Health & Social Service Providers |
| Street Address |
6100 VETERANS PKWY STE 11 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658541 | Holley Mcallister | Behavioral Analyst | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2017-09-20 |
| 1649804071 | Tanaluk Pratheepratana | Behavioral Analyst | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2020-02-25 |
| 1912415605 | Morgan Mcclellan Hope | Behavior Technician | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2018-01-16 |
| 1336657030 | Meca Herrera | Behavior Technician | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2018-01-16 |
| 1679081392 | Amy Lee | Behavior Technician | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2018-01-16 |
| 1639687346 | Courtney Lawson Melton | Behavior Technician | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2018-01-16 |
| 1801304597 | Lauren Blake | Behavior Technician | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2018-01-16 |
| 1992213607 | Sheryll Ruz | Behavior Technician | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2018-01-16 |
| 1669980389 | Susan Ray | Behavior Technician | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2018-01-16 |
| 1922516640 | Nicole Lee Mcintyre | Behavior Technician | 6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 | 2018-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| 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] |
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| 1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
| 1255948832 | Kayla Maree Pitzer | Behavior Technician | 1639 Bradley Park Dr Ste 500, Columbus, GA 31904-3623 | 2020-09-28 |
| 1225659055 | Nyesha Newsom | Behavior Technician | 5394 Ivywood Ln, Columbus, OH 43229-3909 | 2020-05-04 |
| 1437770708 | Erin M Beach | Behavior Technician | 3070 Riverside Dr Ste 400, Columbus, OH 43221-2547 | 2020-04-28 |
| 1790310001 | Mackenzie Ann Steitz | Behavior Technician | 3070 Riverside Dr # 200, Columbus, OH 43221-2547 | 2020-03-06 |
| 1891335352 | Dayana Banks | Behavior Technician | 3070 Riverside Dr Unit 200, Columbus, OH 43221-2547 | 2020-01-13 |
| 1730729401 | Sarah Hendricks | Behavior Technician | 2222 Poshard Dr, Columbus, IN 47203-1843 | 2020-01-10 |
| 1740821362 | Luke Marcus Ekstrom | Behavior Technician | 1349 Warren Williams Rd, Columbus, GA 31901-2630 | 2019-10-04 |
| 1972152122 | Emily Grace Rhodes | Behavior Technician | 3575 Macon Rd Ste 11, Columbus, GA 31907-8228 | 2019-09-10 |
| 1295387892 | Dewaynia Traniese Farrow | Behavior Technician | 1709 Bunker Hill Rd, Columbus, GA 31907-6719 | 2019-07-12 |
| Find all providers in COLUMBUS | ||||
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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.