MS. KIMBERLY DAWN GOLLEN


Address: 3130 S Rainbow Blvd Ste 304, Las Vegas, NV 89146-6212
Phone: (702) 202-3374

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 3130 S RAINBOW BLVD STE 304
City LAS VEGAS
State NV
Zip Code 89146-6212

Providers in the same location

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

Providers in the same zip code

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
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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
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LAS VEGAS
Zip Code 89146

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Dataset Information

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.

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