BRIAN TANENBAUM (NPI# 1912384660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912384660 |
| Entity Type | Individual |
| Full Name | BRIAN TANENBAUM |
| Credential | BCBA |
| Practice Address |
2808 Mckinney Ave Apt. 640 Dallas TX 75204-8603 |
| Practice Telephone | 2147891387 |
| Mailing Telephone | 2147891387 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-18571 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2808 MCKINNEY AVE APT. 640 |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-8603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013224450 | Krystal Blair Park | Speech-Language Pathologist | 2808 Mckinney Ave, #233, Dallas, TX 75204-8603 | 2010-09-07 |
| 1770019614 | Behavior Pioneers, LLC | Community/Behavioral Health | 2808 Mckinney Ave, 640, Dallas, TX 75204-8603 | 2017-05-11 |
| 1598042194 | Samantha Marie Harp | Pharmacist | 2808 Mckinney Ave, #818, Dallas, TX 75204-8603 | 2011-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| 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 |
|---|---|---|---|---|
| 1003432246 | Howdy Pediatrics, LLC | Behavioral Analyst | 539 W Commerce St Ste 608, Dallas, TX 75208-1953 | 2020-06-23 |
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1861027757 | Penny and Sparrow, LLC | Behavioral Analyst | 806 W Five Mile Pkwy, Dallas, TX 75224-4913 | 2020-03-11 |
| 1710528039 | Mindcolor Autism Texas LLC | Behavioral Analyst | 11816 Inwood Rd # 3149, Dallas, TX 75244-8011 | 2019-10-08 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1467961474 | Katelyn Marie Butler | Behavioral Analyst | 727 Blackberry Run Trl, Dallas, GA 30132-2129 | 2017-09-21 |
| 1205368354 | Maud Dogoe Ankudey | Behavioral Analyst | 1330 River Bend Dr, 100, Dallas, TX 75247-6945 | 2017-03-29 |
| 1649728718 | Corrinne Mercer | Behavioral Analyst | 11008 Glen Echo Ct, Dallas, TX 75238-3731 | 2016-09-16 |
| 1962955831 | Elizabeth Dukes | Behavioral Analyst | 2990 Blackburn St Apt 2132, Dallas, TX 75204-3119 | 2016-07-27 |
| Find all providers in DALLAS | ||||
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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.