STEPHANIE MARILYN BRAINARD


Address: 20470 N Lake Pleasant Rd Ste 107, Peoria, AZ 85382-9708
Phone: 6026907877

STEPHANIE MARILYN BRAINARD (NPI# 1063036333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063036333
Entity Type Individual
Full Name STEPHANIE MARILYN BRAINARD
Practice Address 20470 N Lake Pleasant Rd Ste 107
Peoria
AZ 85382-9708
Mailing Address 12825 W Sweetwater Ave
El Mirage
AZ 85335-7276
Practice Telephone 6026907877
Mailing Telephone 6026907877
Enumeration Date 2020-06-03
Last Update Date 2020-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BACB BACB542120 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
13601 N Litchfield Rd Ste 124, Surprise, AZ 853794260 6026907877

Office Location

Street Address 20470 N LAKE PLEASANT RD STE 107
City PEORIA
State AZ
Zip Code 85382-9708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861008278 Chelsea Cregeen Physical Therapy Assistant 20470 N Lake Pleasant Rd Ste 107, Peoria, AZ 85382-9708 2020-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205435146 Arizona Ot Solutions LLC Occupational Therapist 7450 W. Karen Lee Lane, Peoria, AZ 85382 2020-10-21
1497380604 Idream Psychiatry Psychiatry & Neurology 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 2020-03-08
1770137648 Stefan Cseh Occupational Therapy Assistant 8765 W Keiton Lane #116, Peona, AZ 85382 2019-07-30
1174177422 Assyrian Cultural Foundation of Arizona Homemaker 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 2019-07-25
1073072765 Darby Shipman Physical Therapist 8685 W. Union Hills Drive, Peoria, AZ 85382 2019-03-13
1811483480 Kimberly Ann Cochran Nurse Practitioner 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 2018-07-07
1831693514 Summa Health Care, PC Family Medicine 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 2018-03-19
1497258727 Nkemdirim Obiora Nurse Practitioner 7853 West Lone Cactus Drive, Peoria, AZ 85382 2018-03-13
1851893721 Alyssa Michelle Bauman Registered Nurse 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 2018-03-06
1043767106 Jason Mcaddley Pharmacist 9425 West Union Hills Drive, Peoria, AZ 85382 2016-09-07
Find all providers in zip 85382

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760093967 Marissa Mcmillan Behavior Technician 4921 N Glen Park Place Rd, Peoria, IL 61614-4676 2020-08-11
1689205155 Amanda Kahms Behavior Technician 4211 N Patricia Ct, Peoria, IL 61614-6716 2020-02-03
1598329450 Rebekah Rogers Behavior Technician 3417 W Baskin Rdg Apt 6, Peoria, IL 61604-1733 2019-04-26
1770146342 Tracey N Nava Behavior Technician 9634 W Alice Ave, Peoria, AZ 85345-7773 2019-04-18
1760973762 Miranda Taylor Morton Behavior Technician 4507 N Sterling Ave Ste 400, Peoria, IL 61615-3860 2018-05-24
1801497466 Michelle Ramos Martinez Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-11-02
1598364234 Tyler Harnick Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-10-23
1225637960 Janelle Guardado Torres Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-10-23
1770182412 Maclay Patten Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-10-23
1497354138 Megan Claudio Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-10-23
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 85382

Improve Information

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Dataset Information

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.

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