KATIE BETH RUDD (NPI# 1003458076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003458076 |
| Entity Type | Individual |
| Full Name | KATIE BETH RUDD |
| Practice Address |
915 Highway 84 W Caruthersville MO 63830-8113 |
| Practice Telephone | 5733335875 |
| Mailing Telephone | 5733335875 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| 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 |
915 HIGHWAY 84 W |
| City | CARUTHERSVILLE |
| State | MO |
| Zip Code | 63830-8113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306299029 | Jennifer Coleman | Community Health Worker | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2016-07-18 |
| 1942813688 | Nadia Mckinney | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-08-24 |
| 1497365175 | Logan Garrett Callahan | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-08-06 |
| 1861000465 | Amber Lynne Cuff | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-07-20 |
| 1184259145 | Terrance Mcclellan | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-03-10 |
| 1295365112 | Vivian Fuller | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-01-20 |
| 1578101176 | Syreeta Barnes | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-12-13 |
| 1598306698 | Elizabeth Ann Ramirez | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-10-01 |
| 1295395838 | Willis Jean Wilburn | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-06-17 |
| 1598222333 | Brook Ruble | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216400 | Jazmyne S Hall | Behavior Technician | 915 Highway 84, Caruthersville, MO 63830 | 2019-10-14 |
| 1134573017 | Nathan Straeter | Pharmacist | State Highway 84 West, Caruthersville, MO 63830 | 2016-04-18 |
| 1861805624 | Ashley Marie Ballard | Case Manager/Care Coordinator | 10 & Ward Suite C, Caruthersville, MO 63830 | 2014-06-09 |
| 1356764435 | Jena Payne | Case Manager/Care Coordinator | 10th Ward St, Caruthersville, MO 63830 | 2014-01-27 |
| 1619390705 | James Smith | Case Manager/Care Coordinator | 10th & Ward Suite B, Caruthersville, MO 63830 | 2014-01-27 |
| 1730501370 | Belinda Fields | Community Health Worker | 10th & Ward, C, Caruthersville, MO 63830 | 2014-01-16 |
| 1831387372 | T M Swinger & D V Mckillip, Ptr | Optometrist | 101 E. 10th St., Suite A, Caruthersville, MO 63830 | 2007-10-10 |
| 1437284635 | Terrence M Swinger | Optometrist | 101 E. Tenth St., Suite A, Caruthersville, MO 63830 | 2007-02-21 |
| 1114097581 | John D Gardner | Dentist | 1210 Ward Ave, Caruthersville, MO 63830 | 2006-11-09 |
| 1366512287 | Krilurk Chanvitayapongs | Pharmacist | 2709 South Ward, Caruthersville, MO 63830 | 2006-11-08 |
| Find all providers in zip 63830 | ||||
| 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 |
|---|---|---|---|---|
| 1104469097 | Latoya Shanta Guyton | Behavior Technician | 931 Truman Blvd, Caruthersville, MO 63830-1761 | 2019-10-23 |
| 1689216400 | Jazmyne S Hall | Behavior Technician | 915 Highway 84, Caruthersville, MO 63830 | 2019-10-14 |
| 1942813688 | Nadia Mckinney | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-08-24 |
| 1497365175 | Logan Garrett Callahan | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-08-06 |
| 1295365112 | Vivian Fuller | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-01-20 |
| 1366085177 | Patricia Ann Clayton | Behavior Technician | 931 Truman Blvd, Caruthersville, MO 63830-1761 | 2019-10-24 |
| 1598306698 | Elizabeth Ann Ramirez | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-10-01 |
| 1760957989 | Marilyn Kay Jones | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2018-10-04 |
| 1700351939 | Britley Martin | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990386 | Brigitte A Thorn | Behavior Technician | 607 Vivian Ct, Park Hills, MO 63601-4441 | 2020-10-26 |
| 1558960906 | Joshua Kemp | Behavior Technician | 2957 Madison 208, Fredericktown, MO 63645-8478 | 2020-10-17 |
| 1649878158 | Bridget Heaton Garner | Behavior Technician | 33636 Country Club Rd, Slater, MO 65349-2238 | 2020-10-16 |
| 1356955967 | Mckayla Graves | Behavior Technician | 1640 Littleton Ct, Fenton, MO 63026-3015 | 2020-09-01 |
| 1922612787 | Julie Schrum | Behavior Technician | 751 Timberline Dr, Farmington, MO 63640-7800 | 2020-08-31 |
| 1508479528 | Alexis Marie Gallegos | Behavior Technician | 214 Ferrel St, Platte City, MO 64079-9511 | 2020-08-28 |
| 1881207264 | Kenyatta Dakesha Cole | Behavior Technician | 4889 Kossuth Ave Fl 1, Saint Louis, MO 63115-2107 | 2020-08-26 |
| 1336752872 | Jojinam Alicia Agbokou | Behavior Technician | 13087 Fox Haven Ct, Florissant, MO 63033-4800 | 2020-08-25 |
| 1912519372 | Chelsea Arnold | Behavior Technician | 1300 Locust St, Harrisonville, MO 64701-1366 | 2020-08-18 |
| 1629689633 | Veronica Lynn Kirk | Behavior Technician | 2270 Orleans Ln, Florissant, MO 63031-2114 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | CARUTHERSVILLE |
| Zip Code | 63830 |
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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.