TYRA ANN PELLERIN (NPI# 1922549716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922549716 |
| Entity Type | Individual |
| Full Name | TYRA ANN PELLERIN |
| Practice Address |
1010 Common St Ste 500 New Orleans LA 70112-2467 |
| Mailing Address |
5421 Lafaye St New Orleans LA 70122-6337 |
| Practice Telephone | 5043021323 |
| Mailing Telephone | 5049755208 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| 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 |
1010 COMMON ST STE 500 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760888325 | Kinyada Foots Foots | Social Worker | 1010 Common St Ste 500, Suite 106, New Orleans, LA 70112-2467 | 2014-11-10 |
| 1730605155 | Carol Marie Lebrane | Community Health Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2017-08-17 |
| 1669996096 | Andrew Reaves | Social Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2017-07-27 |
| 1003342544 | Tabitha Corley | Community Health Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2017-05-03 |
| 1013465616 | Dwayne Russell | Social Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2016-09-13 |
| 1740737485 | Deborah Jackson | Community Health Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2016-09-09 |
| 1326595349 | Tara Johnson | Community Health Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2016-09-07 |
| 1881141851 | Redondra Sullen | Social Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2016-09-07 |
| 1417404641 | Rhonesha Price | Clinical Nurse Specialist | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2016-09-06 |
| 1700333929 | Trina Williams | Social Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| 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 |
|---|---|---|---|---|
| 1275151029 | Nicole Corrine Hewitt | Behavior Technician | 5131 Bundy Rd Apt K21, New Orleans, LA 70127-5360 | 2020-07-08 |
| 1366094120 | Kentrell F Jackson | Behavior Technician | 733 Dante St # A, New Orleans, LA 70118-1013 | 2019-07-11 |
| 1255995791 | Merrick Moore | Behavior Technician | 1516 Odeon St, New Orleans, LA 70114-3235 | 2019-04-30 |
| 1881166288 | Ariane Marie Miller | Behavior Technician | 4648 Laine Ave, New Orleans, LA 70126-4426 | 2018-12-23 |
| 1043706591 | Leanna Madison | Behavior Technician | 3410 Bacchus Dr, New Orleans, LA 70131-2114 | 2018-07-09 |
| 1467944231 | Cheryl Mckay | Behavior Technician | 10141 Brookfield Dr, New Orleans, LA 70127-2302 | 2018-06-06 |
| 1063904431 | Zera Johnson | Behavior Technician | 3601 Coliseum St Fl 6, New Orleans, LA 70115-3606 | 2018-06-01 |
| 1588153167 | Kimberly Felicia Fields | Behavior Technician | 733 Dante St., New Orleans, LA 70118 | 2018-05-09 |
| 1275033029 | Antonia Jennice Hollins | Behavior Technician | 733 Dante, New Orleans, LA 70118 | 2018-02-19 |
| 1013430610 | Tempest Jane Jackson | Behavior Technician | 4640 South Carrollton Ave, New Orleans, LA 70116 | 2017-07-25 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.