MR. HAROLD BRADSHAW (NPI# 1043675432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043675432 |
| Entity Type | Individual |
| Full Name | MR. HAROLD BRADSHAW |
| Practice Address |
5725 Highland Dr Casper WY 82609-4382 |
| Practice Telephone | 3072654073 |
| Practice Fax Number | 3072652460 |
| Mailing Telephone | 3072654073 |
| Mailing Fax Number | 3072652460 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | PMFT-278 | WY | Behavioral Health & Social Service Providers |
| Street Address |
5725 HIGHLAND DR |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578709010 | Laura Amanda Roy | Social Worker | 5725 Highland Dr, Casper, WY 82609-4382 | 2009-01-06 |
| 1760953947 | Abby Elizabeth Schmucker | Counselor | 5725 Highland Dr, Casper, WY 82609-4382 | 2018-12-16 |
| 1790299097 | Joshua James Kaufman | Counselor | 5725 Highland Dr, Casper, WY 82609-4382 | 2017-11-22 |
| 1760925838 | The Healing Place At Highland Park Community Church | Community/Behavioral Health | 5725 Highland Dr, Casper, WY 82609-4382 | 2016-11-22 |
| 1821347527 | Ginger Allen Terry | Marriage & Family Therapist | 5725 Highland Dr, Casper, WY 82609-4382 | 2012-09-10 |
| 1497086706 | Jeanne Marie Neubert | Counselor | 5725 Highland Dr, Casper, WY 82609-4382 | 2010-01-26 |
| 1457686412 | Julie Lynn Fox | Counselor | 5725 Highland Dr, Casper, WY 82609-4382 | 2009-10-08 |
| 1740514405 | Jason D. Poot | Counselor | 5725 Highland Dr, Casper, WY 82609-4382 | 2009-09-29 |
| 1902046949 | The Healing Place | Counselor | 5725 Highland Dr, Casper, WY 82609-4382 | 2009-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477928141 | Judith Ann Prewitt | Behavioral Analyst | 8035 W Chalk Creek Rd, Casper, WY 82604-1744 | 2015-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454764 | Shondra M Rasmussen | Behavioral Analyst | 3800 Sunset Dr Spc 30, Rock Springs, WY 82901-6902 | 2020-07-21 |
| 1902460736 | Stuart Mullins | Behavioral Analyst | 120 Indian Lookout Dr, Lander, WY 82520-3057 | 2019-04-26 |
| 1346707122 | Perla Marie Exinia Poutinen | Behavioral Analyst | 5022 Crews Ct, Cheyenne, WY 82001-2203 | 2019-02-27 |
| 1467955518 | Cheryl L Coleman | Behavioral Analyst | 26 Far View Cir, Riverton, WY 82501-9760 | 2018-03-15 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1811447295 | Marybeth Gundlach | Behavioral Analyst | 1408 Bismark Dr Unit B, Powell, WY 82435-9195 | 2016-10-10 |
| 1104374214 | Sarah Boyko | Behavioral Analyst | 1511 Mydland Rd Lot 46, Sheridan, WY 82801-2139 | 2016-09-18 |
| 1588019327 | Michael Bohn | Behavioral Analyst | 9 Skyview Cir, Newcastle, WY 82701-9441 | 2016-04-29 |
| 1992170021 | Kandice Hansen | Behavioral Analyst | 5927 Crow Rd, Cheyenne, WY 82009-4168 | 2015-12-01 |
| 1073987194 | Christine Herron | Behavioral Analyst | 509 E Jefferson Rd, Lot 34, Cheyenne, WY 82007-2457 | 2015-12-01 |
| Find all providers with the same taxonomy | ||||
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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.