COURTNEY WISE (NPI# 1124506100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124506100 |
| Entity Type | Individual |
| Full Name | COURTNEY WISE |
| Practice Address |
540 W International Airport Rd Anchorage AK 99518-1105 |
| Practice Telephone | 9074334864 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| 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 |
|---|---|---|---|---|
| 1992218929 | Courtney Jana Wise | Licensed Practical Nurse | 32 Rutgers Dr, Newark, NJ 07103-3087 | 2017-11-13 |
| 1629457619 | Courtney H Wise | Case Manager/Care Coordinator | 975 A Kingsview Drive, Lebanon, OH 45036-9562 | 2015-05-22 |
| Street Address |
540 W INTERNATIONAL AIRPORT RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99518-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063566321 | Debbie Marie Emery | Case Manager/Care Coordinator | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2007-01-23 |
| 1457979395 | Deiniol Avery Oaminal Ballais | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2020-07-07 |
| 1487286902 | Brooke Bigelow | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2020-02-12 |
| 1679112049 | Autumn Marie Mcveigh | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2020-01-02 |
| 1659910495 | Jillian Lynn Castoe-voltura | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2019-12-26 |
| 1134762172 | Connor Sheagren | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2019-10-22 |
| 1588210728 | Chaix Rashelle Bratton | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2019-08-14 |
| 1013576065 | Hillary Mendoza Gamboa | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2019-06-12 |
| 1073178695 | Kabao Xiong | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2019-05-08 |
| 1902379415 | Paulo Martin Amoroso Baylon | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871952648 | Daniel & Max, LLC | Optometrist | 8300 Homer Drive, Anchorage, AK 99518 | 2016-02-22 |
| 1093133266 | Bidney Turner | Registered Nurse | 8130 Old Sweard Highway, Suite #103, Anchorage, AK 99518 | 2014-04-03 |
| 1407271265 | Diane Clare Espinosa | Speech-Language Pathologist | 708 Blackburn Ct., Anchorage, AK 99518 | 2014-03-03 |
| 1366865859 | Infinite Care of Alaska LLC | Home Health | 165 East 56th Ave., Suite #3, Anchorage, AK 99518 | 2014-02-04 |
| 1669712477 | Medical Services | Durable Medical Equipment & Medical Supplies | 5401 North Star St, Anchorage, AK 99518 | 2013-02-15 |
| 1346503364 | Eric Mellor Larsen | Social Worker | 5308 Northstar St, Anchorage, AK 99518 | 2012-06-25 |
| 1245443662 | Wisdom Traditions Wellness, LLC | Acupuncturist | 615 E 82nd Avenue Suite B-5, Suite #17, Anchorage, AK 99518 | 2007-05-08 |
| 1902929813 | Stannealh Inc. 2 | Residential Treatment Facility, Physical Disabilities | 7452 Nathan Dr., Anchorage, AK 99518 | 2007-04-06 |
| 1679641500 | Annett Marie Pipkin | Specialist | 5401 Northstar, #a, Anchorage, AK 99518 | 2006-11-30 |
| 1922172022 | Mark E Silverman | Dentist | 7926 Old Seward Hwy, Ste B7, Anchorage, AK 99518 | 2006-11-20 |
| Find all providers in zip 99518 | ||||
| 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 |
|---|---|---|---|---|
| 1801422142 | Jacqueline Tarner | Behavior Technician | 13030 Brandon St, Anchorage, AK 99515-3536 | 2020-03-18 |
| 1134770035 | Samantha Jones | Behavior Technician | 1153 E 72nd Ave, Anchorage, AK 99518-2369 | 2019-09-23 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1316509805 | Kelly J Ross | Behavior Technician | 3819 Remington Cir, Anchorage, AK 99507-2888 | 2019-07-03 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1669038493 | Sharone Elaine Thornton | Behavior Technician | 8731 Flamingo Dr, Anchorage, AK 99502-5423 | 2019-05-16 |
| 1306402789 | Benjamin Fielder | Behavior Technician | 6045 E 43rd Ave, Anchorage, AK 99504-4322 | 2019-05-11 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in ANCHORAGE | ||||
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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.