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Deactivated NPI 1437891751 Deactivated / Inactive NPI Female Practitioner

Cassie Vongsoumphou

Behavior Technician • Providence, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cassie Vongsoumphou has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 07, 2022
NPI Deactivation Date February 15, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Cassie Vongsoumphou was a registered Behavior Technician practicing in Providence, RI. Throughout an active medical career spanning 1 years, Cassie Vongsoumphou provided care at the practice location at 290 W EXCHANGE ST # 101 until profile deactivation on 2023-02-15.

Practice Location & Contact Primary Location

Practice Address

290 W Exchange St # 101

Providence, RI 029031135

Telephone 4012142330

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
181 Specialists

Practicing in Providence, RI (595 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Alexis Negron

Behavior Technician

NPI 1003429879
Ashley Hernandez

Behavior Analyst

NPI 1033757133
Tina Lama

Behavior Technician

NPI 1043783129
Jillian Denning

Behavior Technician

NPI 1114497849
Margaret Dyson

Behavior Technician

NPI 1154894368
Kayla Walker

Behavior Technician

NPI 1215400411

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 15, 2023

Record deactivated on February 15, 2023

NPI Profile Active April 07, 2022

NPI status registered as active in NPPES database

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Updated Practice Location April 07, 2022

Registered at 290 W EXCHANGE ST # 101, PROVIDENCE, RI 029031135 (Tel: 4012142330)

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Updated Business Mailing Address April 07, 2022

Registered at 71 BRUSH HILL RD, PROVIDENCE, RI 029094904

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Provider Name / Credentials Updated April 07, 2022

Recorded as CASSIE VONGSOUMPHOU

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2022

Behavior Technician

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Initial NPI Registration & Enumeration April 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437891751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2022
Last Update: April 07, 2022
Deactivation Date: February 15, 2023

Mailing Address

71 Brush Hill Rd

Providence, RI 029094904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.