DERERK DANIEL MURRAY (NPI# 1033716063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033716063 |
| Entity Type | Individual |
| Full Name | DERERK DANIEL MURRAY |
| Practice Address |
1072 Dee Ln North Pole AK 99705-5319 |
| Practice Telephone | 9077999135 |
| Mailing Telephone | 9077999135 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| 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 |
1072 DEE LN |
| City | NORTH POLE |
| State | AK |
| Zip Code | 99705-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508815 | Madison Grove | Behavioral Analyst | 203 S. Santa Claus Lane, North Pole, AK 99705 | 2018-11-27 |
| 1104393123 | Jessica Marie Childress | Behavioral Analyst | 203 Santa Clause, North Pole, AK 99705 | 2018-10-29 |
| 1346722279 | Kimberly Shriner | Student in an Organized Health Care Education/Training Program | 1970 Hollowell Rd, North Pole, AK 99705 | 2018-09-06 |
| 1780108993 | Tracy Norris | Behavior Technician | 1000 Borda St., North Pole, AK 99705 | 2017-07-29 |
| 1912134420 | Donald Jermome Kosatka | Psychiatry & Neurology | Building 4066 602nd Street, Bassett Army Community Hospital, Fort Wainwright, AK 99705 | 2009-06-11 |
| 1174796247 | Monique Dase Smith | Psychiatry & Neurology | 1650 Cowles St., Fairbanks, AK 99705 | 2008-04-09 |
| 1376742494 | Vicki Elaine Readnour | Physical Therapist | 167-b Santa Claus Lane, North Pole, AK 99705 | 2007-07-18 |
| 1114091527 | Helyn M Lefgren | Family Medicine | 145 Santa Claus Lane, North Pole, AK 99705 | 2006-11-17 |
| 1174695803 | Eric P Buetow | Dentist | 2933 Horseshoe Way, North Pole, AK 99705 | 2006-11-15 |
| 1770578296 | North Pole Prescription Laboratory Inc | Pharmacy | 167 Santa Claus Lane, North Pole, AK 99705 | 2005-09-12 |
| Find all providers in zip 99705 | ||||
| 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 |
|---|---|---|---|---|
| 1003460155 | Samuel Owings | Behavior Technician | 3128 Tobacco Rd, North Pole, AK 99705-6758 | 2019-07-27 |
| 1992358402 | Javed Miya Shah | Behavior Technician | 895 Lakloey Dr, North Pole, AK 99705-5355 | 2019-07-23 |
| 1316434459 | Trevor Alan Sparks | Behavior Technician | 960 Lakloey Dr, North Pole, AK 99705-5356 | 2018-04-14 |
| 1538674627 | Kaitlin Meryl Litton | Behavior Technician | 203 Santa Claus Ln, North Pole, AK 99705-6055 | 2017-12-11 |
| 1780108993 | Tracy Norris | Behavior Technician | 1000 Borda St., North Pole, AK 99705 | 2017-07-29 |
| 1952839656 | Brittany Jean Wesseling | Behavior Technician | 2265 Flight St, North Pole, AK 99705-7574 | 2017-05-25 |
| 1548709827 | Kasandra Mckenzie | Behavior Technician | 1306 Hartzog Loop, North Pole, AK 99705-5508 | 2017-02-20 |
| 1427699032 | Interior Behavior Consulting, LLC | Behavior Technician | 3095 Pewter Ct, North Pole, AK 99705-7594 | 2019-10-04 |
| 1598318156 | Noelle Rene Saulter | Behavior Technician | 203 S Santa Claus Ln, North Pole, AK 99705-7704 | 2019-07-22 |
| 1538639570 | Wendy Ann Blackwell | Behavior Technician | 203 S Santa Claus Ln, North Pole, AK 99705-7704 | 2018-12-03 |
| Find all providers in NORTH POLE | ||||
| City | NORTH POLE |
| Zip Code | 99705 |
Please comment or provide details below to improve the information on DERERK DANIEL MURRAY.
| 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.