KIMBERLY SUE GINGRICH (NPI# 1063938371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063938371 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUE GINGRICH |
| Practice Address |
1704 Westland Rd Cheyenne WY 82001 |
| Mailing Address |
1105 W Russell St Sioux Falls SD 57104-1322 |
| Practice Telephone | 3072222400 |
| Mailing Telephone | 6052712690 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | WY | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6189 Lehman Dr Ste 202, Colorado Springs, CO 809185409 | (719) 266-1000 |
| Street Address |
1704 WESTLAND RD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043632722 | Cristina Marie Aponte | Developmental Therapist | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2014-01-14 |
| 1962023283 | Madison Fryman | Behavior Technician | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2020-04-27 |
| 1538703434 | Trace Andrew Johnson | Behavior Technician | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2019-11-04 |
| 1548804834 | Ashley Lynn White | Behavior Technician | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2019-10-30 |
| 1205488574 | Caitlin Greninger | Behavioral Analyst | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2019-07-16 |
| 1023679610 | Jazmin Erives | Behavior Technician | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2019-06-24 |
| 1447818604 | Ariel Huston | Behavior Technician | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2019-06-03 |
| 1467015461 | Megan Bates | Behavior Technician | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2019-04-16 |
| 1679035992 | Marissa Loyd | Behavior Technician | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2019-04-04 |
| 1215492269 | Colleen Gibson | Behavior Technician | 1704 Westland Rd, Cheyenne, WY 82001-3322 | 2019-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| 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 |
|---|---|---|---|---|
| 1295391225 | Anthony Travon Ballast | Behavior Technician | 3120 Old Faithful Rd Ste 200, Cheyenne, WY 82001-5887 | 2019-05-15 |
| 1720549579 | Tracey Y Hall | Behavior Technician | 205 Storey Blvd Ste 120, Cheyenne, WY 82009-3566 | 2019-03-26 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1346718632 | Megan C Strickler | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2018-11-05 |
| 1619575230 | Sara Shaw | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-15 |
| 1184222770 | Quinlan Kautzman | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-15 |
| 1801494562 | Jessica Kautzman | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-15 |
| 1184222903 | Celina Luther | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-14 |
| 1205434040 | Heaven Haley Varela | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-14 |
| 1588261010 | Kodee Griffith | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-07 |
| Find all providers in CHEYENNE | ||||
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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.