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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BACB | BACB542120 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
13601 N Litchfield Rd Ste 124, Surprise, AZ 853794260 | 6026907877 |
Street Address |
20470 N LAKE PLEASANT RD STE 107 |
City | PEORIA |
State | AZ |
Zip Code | 85382-9708 |
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 |
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 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 |
---|---|---|---|---|
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 |
Please comment or provide details below to improve the information on STEPHANIE MARILYN BRAINARD.
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.