MARY WURZBACH (NPI# 1073110458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073110458 |
| Entity Type | Individual |
| Full Name | MARY WURZBACH |
| Credential | RBT |
| Practice Address |
1599 Township Line Rd Plainfield IN 46168-7517 |
| Practice Telephone | 3179143176 |
| Practice Fax Number | 8447426592 |
| Mailing Telephone | 3179143176 |
| Mailing Fax Number | 8447426592 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| 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 |
| Street Address |
1599 TOWNSHIP LINE RD |
| City | PLAINFIELD |
| State | IN |
| Zip Code | 46168-7517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144710849 | Kourtni Bradley | Behavior Technician | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2018-05-17 |
| 1417556754 | Ariana Jackson | Behavior Technician | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2020-10-19 |
| 1447865332 | Ashten Busscher | Behavior Technician | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2020-09-09 |
| 1255944633 | Akilah Turner | Behavior Technician | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2020-08-26 |
| 1417567652 | Lindsay Fromm | Behavior Technician | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2020-08-03 |
| 1790395929 | Emily Wilkinson | Behavior Technician | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2020-08-03 |
| 1184242414 | Guyia Muhammad | Behavior Technician | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2020-07-13 |
| 1194343418 | Molly David | Behavior Technician | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2020-07-13 |
| 1023636347 | Karli Herbert | Speech-Language Pathologist | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2020-07-13 |
| 1598390734 | Allison Marcrom | Behavior Technician | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614825 | Indiana Behavioral Innovations LLC | Psychiatric Hospital | 1051 Southfield Dr, Plainfield, IN 46168 | 2020-09-17 |
| 1295243731 | Quad/med, LLC | Clinic/Center | 9998 Allpoints Parkway, Plainfield, IN 46168 | 2018-01-18 |
| 1255702478 | Dental Professionals of Indiana, PC | Dentist | 2455 E. Main St., Suite 104, Plainfield, IN 46168 | 2015-10-14 |
| 1760861991 | Audrey Falkenstein | Behavioral Analyst | 1599 Township Line Road, Plainfield, IN 46168 | 2015-05-20 |
| 1356751754 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Dan Jones Rd, Plainfield, IN 46168 | 2014-05-07 |
| 1841612835 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 5865 Sugar Lane, Plainfield, IN 46168 | 2014-01-10 |
| 1063850576 | Philip A. Blaney | Family Medicine | 315 N Dan Jones Rd Ste 120, Plainfield, IN 46168 | 2013-06-06 |
| 1659622512 | Integrity Behavioral Solutions, LLC | Behavioral Analyst | 1599 Township Line Rd., Plainfield, IN 46168 | 2012-10-01 |
| 1720348428 | Robert J. Krause, D.c., P.C. | Chiropractor | 1729 E. Main Street, Plainfield, IN 46168 | 2012-05-29 |
| 1205075561 | Amanda Nicole Harty | Speech-Language Pathologist | 611 White Lick Lane, Plainfield, IN 46168 | 2009-02-10 |
| Find all providers in zip 46168 | ||||
| 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 |
|---|---|---|---|---|
| 1851918650 | Kaytlin Cearnal | Behavior Technician | 11914 Illinois Rte 59, Suite 124, Plainfield, IL 60585 | 2020-06-29 |
| 1407494891 | Samantha Lisa Delaney | Behavior Technician | 11914 Il-59, Plainfield, IL 60585 | 2019-12-16 |
| 1134767510 | Alexandra Marie Vosburgh | Behavior Technician | 11914 Il-59 S Unit 124, Plainfield, IL 60585 | 2019-12-16 |
| 1659939445 | Stephanie Pates | Behavior Technician | 14530 Thomas Jefferson Dr, Plainfield, IL 60544-4423 | 2019-06-05 |
| 1053879635 | Lisa Marie Treptow | Behavior Technician | 1905 Havenhill Dr, Plainfield, IL 60586-6508 | 2019-03-04 |
| 1356812937 | Amanda Furrer | Behavior Technician | 14059 Front Royal Ct, Plainfield, IL 60544-6095 | 2018-12-07 |
| 1235608597 | Daliborka Nusheva | Behavior Technician | 7511 Locust Ln, Plainfield, IL 60586-2529 | 2018-11-16 |
| 1942779541 | Jaycinda S Gamblin | Behavior Technician | 6409 Coyote Ridge Ct, Plainfield, IL 60586-2598 | 2018-11-13 |
| 1265909576 | Dena Ann Steppe | Behavior Technician | 2619 Sierra Ave, Plainfield, IL 60586-6849 | 2018-10-25 |
| 1700367810 | Monica Isabel Avelar | Behavior Technician | 11914 Illinois Route 59, Plainfield, IL 60585 | 2018-08-27 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 46168 |
Please comment or provide details below to improve the information on MARY WURZBACH.
| 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.