KIMBERLY HEADLE ULRICH (NPI# 1073121422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073121422 |
| Entity Type | Individual |
| Full Name | KIMBERLY HEADLE ULRICH |
| Credential | RBT |
| Practice Address |
16635 Centerfield Dr Ste 103 Eagle River AK 99577-7745 |
| Practice Telephone | 9076946002 |
| Mailing Telephone | 9076946002 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023518834 | Kimberly Marie Hagan Ulrich | Speech-Language Pathologist | 4757 Habersham Rdg Sw, Lilburn, GA 30047-5602 | 2018-02-19 |
| 1063932622 | Kimberly Ann Ulrich | Speech-Language Pathologist | 700 Kenmore Ave, Fredericksburg, VA 22401-5725 | 2017-06-26 |
| Street Address |
16635 CENTERFIELD DR STE 103 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376620179 | Focus Inc. | Social Worker | 16635 Centerfield Dr Ste 103, Eagle River, AK 99577-7745 | 2006-11-01 |
| 1053929695 | Audrey Means | Speech-Language Pathologist | 16635 Centerfield Dr Ste 103, Eagle River, AK 99577-7745 | 2020-07-20 |
| 1386293959 | Bridgit Rose Peterson | Behavior Technician | 16635 Centerfield Dr Ste 103, Eagle River, AK 99577-7745 | 2019-09-06 |
| 1871154666 | Samantha Haas | Behavior Technician | 16635 Centerfield Dr Ste 103, Eagle River, AK 99577-7745 | 2019-06-24 |
| 1356887178 | Kaylee Williams | Behavior Technician | 16635 Centerfield Dr Ste 103, Eagle River, AK 99577-7745 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| 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 |
|---|---|---|---|---|
| 1871119875 | David Ray Matthews | Behavior Technician | 19801 War Admiral Rd, Eagle River, AK 99577-8492 | 2020-06-25 |
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1558920348 | Alice Scout Williams | Behavior Technician | 17639 Tedrow Dr, Eagle River, AK 99577-8215 | 2019-06-06 |
| 1366957409 | Katherine Linkenhoker | Behavior Technician | 11529 Dawn St, Eagle River, AK 99577-7419 | 2017-12-12 |
| 1891200473 | Vanessa Sheets | Behavior Technician | 16941 N Eagle River Loop Rd Ste 3, Eagle River, AK 99577-7824 | 2017-12-05 |
| 1134727167 | Taylor Rose Larson | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2020-10-12 |
| 1023622511 | Elisabeth Myers | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2020-09-02 |
| 1609488568 | Kristen Noelle Clark | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2020-08-20 |
| 1770193278 | Caroline Irvin | Behavior Technician | 16331 Heritage Pl, Eagle River, AK 99577-7753 | 2020-08-09 |
| 1205445822 | Katelynn Mobley | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2020-07-29 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on KIMBERLY HEADLE ULRICH.
| 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.