DAWN MARIE NUSHARR (NPI# 1164087219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164087219 |
| Entity Type | Individual |
| Full Name | DAWN MARIE NUSHARR |
| Practice Address |
508 Upland St Kenai AK 99611-8026 |
| Mailing Address |
45914 Inlet Breeze St Kenai AK 99611-9679 |
| Practice Telephone | 9073357500 |
| Mailing Telephone | 9075981027 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | AK | Behavioral Health & Social Service Providers |
| Street Address |
508 UPLAND ST |
| City | KENAI |
| State | AK |
| Zip Code | 99611-8026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606461 | Heather Leigh Callum | Pediatrics | 508 Upland St, Kenai, AK 99611-8026 | 2005-08-22 |
| 1194325043 | Darlene Charmaine Olsen-holst | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2020-10-29 |
| 1942849385 | Erica Nicole Long | Counselor | 508 Upland St, Kenai, AK 99611-8026 | 2020-01-02 |
| 1356990055 | Rebecca Strong | Social Worker | 508 Upland St, Kenai, AK 99611-8026 | 2019-09-05 |
| 1407409832 | Koleen Jenness Wittmer | Counselor | 508 Upland St, Kenai, AK 99611-8026 | 2019-07-24 |
| 1760047419 | Adam Zufelt | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-08 |
| 1811552573 | Annette Schultz | Case Manager/Care Coordinator | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-07 |
| 1134784192 | Karina Lorenzo | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1699330571 | Shelley Dawne Powell- Zimmer | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1316502230 | Mackenzie Rae Pietz | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| 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 |
|---|---|---|---|---|
| 1154986131 | Christian Hasting Pepper I | Behavior Technician | 1013 Alaska Ave Apt 47, Kenai, AK 99611-8057 | 2019-05-06 |
| 1407457435 | Matthew Trammell | Behavior Technician | 510 Upland St, Kenai, AK 99611-8028 | 2020-11-05 |
| 1194325043 | Darlene Charmaine Olsen-holst | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2020-10-29 |
| 1760047419 | Adam Zufelt | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-08 |
| 1134784192 | Karina Lorenzo | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1699330571 | Shelley Dawne Powell- Zimmer | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1316502230 | Mackenzie Rae Pietz | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1437714581 | Roberta O'brien | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-03 |
| 1932764065 | Rodolfo Luis Villegas Jr. | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-03 |
| 1417512609 | Andrew Supple | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-03 |
| Find all providers in KENAI | ||||
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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.