MISS ANNA ODESSA WALLACE (NPI# 1891313201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891313201 |
| Entity Type | Individual |
| Full Name | MISS ANNA ODESSA WALLACE |
| Practice Address |
1401 E 7th St Charlotte NC 28204-6300 |
| Practice Telephone | 7049607229 |
| Enumeration Date | 2020-07-12 |
| Last Update Date | 2020-07-12 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809926 | Anna K Wallace | Marriage & Family Therapist | 2235 Locksley Woods Dr Apt E, Greenville, NC 27858-5461 | 2020-10-21 |
| 1518249093 | Anna Everett Wallace | Physician Assistant | 5356 Reynolds St Ste 201, Savannah, GA 31405-6019 | 2011-09-12 |
| 1225229065 | Anna Beamer Wallace | Registered Nurse | 311 23rd Ave. No., Nashville, TN 37203-1504 | 2007-08-07 |
| 1811318942 | Anna Lauren Wallace | Dietitian, Registered | 102 N. Main St., Mendenhall, MS 39114 | 2013-12-16 |
| 1437421245 | Anna Joan Wallace | Occupational Therapy Assistant | 255 59th St N, St Petersburg, FL 33710-8539 | 2012-02-08 |
| 1902030372 | Anna Hollmann Wallace | Orthopaedic Surgery | 1926 Alcoa Hwy, Bldg F, Ste 210, Knoxville, TN 37920-1545 | 2009-05-13 |
| Street Address |
1401 E 7TH ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720019110 | Aa Management Corp | Specialist | 1401 E 7th St, Suite 100, Charlotte, NC 28204-2407 | 2006-07-05 |
| 1548861578 | Paula Suzanne Fleenor | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-11-05 |
| 1679172399 | Sierra Laney | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-23 |
| 1013516053 | Devesdra Wallace | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-21 |
| 1497354302 | Ranekqwa Edwards | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-21 |
| 1235737719 | Elizabeth Catherine Crage | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-15 |
| 1386242071 | Joshua Thomas | Behavioral Analyst | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-14 |
| 1275131062 | Shelby Karen Pringle | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-13 |
| 1366049645 | Ashli Duryea | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-08 |
| 1730786658 | Aileen Frances Harris | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| 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 |
|---|---|---|---|---|
| 1619577244 | Jennifer Brickman | Behavior Technician | 905 Kenilworth Ave Apt 226, Charlotte, NC 28204-2947 | 2020-11-01 |
| 1578162475 | Jaquetta Mcpherson | Behavior Technician | 650 E Stonewall St Apt 435, Charlotte, NC 28202-3416 | 2020-10-21 |
| 1922614270 | Kalessa Grigsby | Behavior Technician | 3510 Frew Rd Apt H, Charlotte, NC 28206-4990 | 2020-09-22 |
| 1851907125 | Kayla Tyson-cardona | Behavior Technician | 13420 Cedar Farm Rd Apt 302, Charlotte, NC 28278-7543 | 2020-09-21 |
| 1558971333 | Danielle C Tain | Behavior Technician | 3443 Twelve Oaks Pl, Charlotte, NC 28270-4432 | 2020-08-05 |
| 1558971465 | Leah Danielle Dunn | Behavior Technician | 8307 University Exec Park Dr Ste 231, Charlotte, NC 28262-1381 | 2020-08-05 |
| 1255959854 | Catherine Danielle Rivers | Behavior Technician | 6647 Kemp St, Charlotte, NC 28213-5629 | 2020-07-09 |
| 1215552237 | Evelyn A Bailey | Behavior Technician | 2301 Lawry Run Dr Apt 402, Charlotte, NC 28273-3495 | 2020-06-15 |
| 1770107971 | Robert L Mckinstry | Behavior Technician | 7046 Markway Dr, Charlotte, NC 28215-3577 | 2020-06-03 |
| 1982238655 | Aleta Fraser | Behavior Technician | 10931 Pimlico Dr, Charlotte, NC 28273-7712 | 2020-03-02 |
| Find all providers in CHARLOTTE | ||||
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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.