SACORRA BREANNA HEPBURN (NPI# 1972144822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972144822 |
| Entity Type | Individual |
| Full Name | SACORRA BREANNA HEPBURN |
| Practice Address |
176 Greenmeadow Way Apt A Upper Marlboro MD 20774-1147 |
| Practice Telephone | 3522551894 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | MD | Behavioral Health & Social Service Providers |
| Street Address |
176 GREENMEADOW WAY APT A |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| 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 |
|---|---|---|---|---|
| 1194322644 | Curtis Lee Knox | Behavior Technician | 31 Joyceton Way, Upper Marlboro, MD 20774-1442 | 2020-10-07 |
| 1912514910 | The Indigo Child Therapeutic LLC | Behavior Technician | 9722 Green Apple Turn, Upper Marlboro, MD 20772-4423 | 2020-09-24 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1487289187 | Rachael Veney | Behavior Technician | 4211 Bridle Ridge Rd, Upper Marlboro, MD 20772-8042 | 2020-03-03 |
| 1649810243 | Lakresha Antoinette Lucas | Behavior Technician | 4001 Ranch Rd, Upper Marlboro, MD 20772-8136 | 2020-01-10 |
| 1326682030 | Jamaal Devane Gooding | Behavior Technician | 10121 Prince Pl Apt 101, Upper Marlboro, MD 20774-1108 | 2019-11-05 |
| 1255944773 | Kyra Terrell | Behavior Technician | 9440 Marlboro Pike, Upper Marlboro, MD 20772 | 2020-08-25 |
| 1780292821 | Nyah Swann | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-07-15 |
| 1386261444 | Alexis King | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-07-06 |
| 1992338917 | Saffie Koroma | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2020-02-18 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on SACORRA BREANNA HEPBURN.
| 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.