TARA BRACHTENBACH (NPI# 1003373853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003373853 |
| Entity Type | Individual |
| Full Name | TARA BRACHTENBACH |
| Practice Address |
1936 Summit St Kansas City MO 64108-2110 |
| Mailing Address |
7139 Oulook St Overland Park KS 66204 |
| Practice Telephone | 8168665662 |
| Mailing Telephone | 7852160014 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1936 SUMMIT ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790211 | Jordan Monique Hall | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2020-11-03 |
| 1699396887 | Emily Joy Koops | Behavioral Analyst | 1936 Summit St, Kansas City, MO 64108-2110 | 2020-04-29 |
| 1932739513 | Jessica Ann Cahill | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2020-01-22 |
| 1629618392 | Morgan Mathes | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2020-01-10 |
| 1346882487 | Alexis Andrea Lawless | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2019-10-10 |
| 1083276091 | Jordan Kroenke | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2019-07-01 |
| 1366000853 | Shelby A Johnson | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2019-05-30 |
| 1053978858 | Olivia Brooke Gilmore | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2019-05-28 |
| 1477118487 | Siara Cook | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2019-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| 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 |
|---|---|---|---|---|
| 1053957852 | Jade E Kennedy | Behavior Technician | 10330 Hickmanmills Drive, Kansas City, MO 64137-1618 | 2019-11-27 |
| 1710523501 | Kyle Christopher Phillips | Behavior Technician | 10330 Hickman Mills Drive, Kansas City, MO 64137-1618 | 2019-11-27 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1760032247 | Janeth Alejandra Matar | Behavior Technician | 741 S 76th St, Kansas City, KS 66111-2721 | 2019-09-16 |
| 1871140061 | Ashley Nicole Garcia | Behavior Technician | 10330 Hickman Mills Dr., Kansas City, MO 64137-1618 | 2019-08-22 |
| 1508426180 | Alexa Visor | Behavior Technician | 7 E Gregory Blvd, Kansas City, MO 64114-1117 | 2019-06-17 |
| 1356815658 | Emily A Hankinson | Behavior Technician | 11700 Hollingsworth Rd, Kansas City, KS 66109-2937 | 2019-01-20 |
| 1528539509 | Jeffrey Michal Alcala | Behavior Technician | 200 N 81st Ter, Kansas City, KS 66112-2704 | 2018-12-17 |
| 1912477365 | Callie Ann Davis | Behavior Technician | 10330 Hickman Mills Dr Bldg II, Kansas City, MO 64137-1618 | 2018-11-28 |
| 1154898930 | Izabel Kristine Noyes | Behavior Technician | 4206 Charlotte St, Kansas City, MO 64110-1138 | 2018-10-30 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
Please comment or provide details below to improve the information on TARA BRACHTENBACH.
| 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.