MS. KIMBERLY DAWN GOLLEN (NPI# 1144745522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144745522 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY DAWN GOLLEN |
| Practice Address |
3130 S Rainbow Blvd Ste 304 Las Vegas NV 89146-6212 |
| Practice Telephone | (702) 202-3374 |
| Practice Fax Number | 7022023804 |
| Mailing Telephone | 7022023374 |
| Mailing Fax Number | 7022023804 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3130 S RAINBOW BLVD STE 304 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770714966 | Kathleen Arch | Social Worker | 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212 | 2009-08-05 |
| 1881242949 | Joy Behavioral Health LLC | Counselor | 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212 | 2019-08-30 |
| 1114587813 | Joy Behavioral Health, LLC | Clinic/Center | 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212 | 2019-06-17 |
| 1053879247 | Advance Addiction Treatment Center | Intermediate Care Facility, Mental Illness | 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212 | 2019-03-06 |
| 1891266037 | Maria Del Carmen Leyva Vicente | Home Health Aide | 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212 | 2018-12-16 |
| 1598233546 | Carolina Cajica | Rehabilitation Practitioner | 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212 | 2018-11-07 |
| 1386156974 | Keren Yadai Sclafani | Counselor | 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212 | 2017-11-03 |
| 1023548427 | Natalie Garcia | Behavior Technician | 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212 | 2017-06-18 |
| 1124556543 | Johanna Favela Chaidez | Behavioral Analyst | 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212 | 2017-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| 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 |
|---|---|---|---|---|
| 1417558503 | Ramona Toombs | Behavior Technician | 3070 S Nellis Blvd Apt 1158, Las Vegas, NV 89121-2059 | 2020-11-04 |
| 1821699448 | Adjoa Jacques | Behavior Technician | 6086 Denton Ranch Rd, Las Vegas, NV 89131-3127 | 2020-11-02 |
| 1497355119 | Johanna Stephenson | Behavior Technician | 7401 Royal Crystal St, Las Vegas, NV 89149-0168 | 2020-10-30 |
| 1376143602 | Debbie Adres Cera | Behavior Technician | 4803 Fuentes Way, Las Vegas, NV 89121-2811 | 2020-10-27 |
| 1679172597 | Dianelys Alvarez Alvarez | Behavior Technician | 4732 Elm Ave, Las Vegas, NV 89110-3521 | 2020-10-21 |
| 1730788910 | Raney Yatomi | Behavior Technician | 8928 Reining Spur Ave, Las Vegas, NV 89143-1130 | 2020-10-20 |
| 1871190496 | Ivonne Guadalupe Valencia Blancas | Behavior Technician | 7b Luke Dr, Las Vegas, NV 89115-2608 | 2020-10-06 |
| 1700493384 | Victoria Rose Cornejo | Behavior Technician | 356 N 16th St, Las Vegas, NV 89101-4179 | 2020-09-28 |
| 1396352910 | Arielle Sharma | Behavior Technician | 5575 S Durango Dr Unit 1511, Las Vegas, NV 89113-1833 | 2020-09-28 |
| 1104432376 | Kaitlynn Ashley Kimball | Behavior Technician | 7560 W Sahara Ave Ste 107, Las Vegas, NV 89117-2745 | 2020-09-22 |
| Find all providers in LAS VEGAS | ||||
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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.