LISA J. WAINIO (NPI# 1205120458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205120458 |
| Entity Type | Individual |
| Full Name | LISA J. WAINIO |
| Practice Address |
6454 Joan Ln Evergreen CO 80439-7012 |
| Practice Telephone | 5087251872 |
| Mailing Telephone | 5087251872 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2020-07-17 |
| NPI Deactivation Date | 06/19/2020 |
| NPI Reactivation Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-11-8305 | Behavioral Health & Social Service Providers |
| Street Address |
6454 JOAN LN |
| City | EVERGREEN |
| State | CO |
| Zip Code | 80439-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038644 | Cub Creek Therapy | Community/Behavioral Health | 6454 Joan Ln, Evergreen, CO 80439-7012 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134351 | Mary Elizabeth Pruet | Speech-Language Pathologist | 26284 Grand Summit Trl, Evergreen, CO 80439 | 2018-05-15 |
| 1821511031 | Marie Ann St. Denis | Acupuncturist | 27919 Alabraska Lane, Evergreen, CO 80439 | 2017-07-19 |
| 1285173203 | Natalie Mannon Ibrahim | Physician Assistant | 30940 Stagecoach Blvd, Ste E290, Elk Ridge Family Physicians, Inc, Evergreen, CO 80439 | 2017-02-23 |
| 1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
| 1831640291 | Bear Creek Mental Health LLC | Community/Behavioral Health | 4911 Plettner Ln, Ste 210, Evergreen, CO 80439 | 2016-10-20 |
| 1164971974 | Animal-assisted Therapy of The Mountain Communities | Counselor | 28000 Meadow Dr Suite 105, Evergreen, CO 80439 | 2016-09-22 |
| 1093191793 | Jennifer Schreiber | Occupational Therapist | 1659 Stoneham Lane, Evergreen, CO 80439 | 2015-08-04 |
| 1366879371 | Victoria Carleen Bown | Physical Therapist | 32003 Ellingwood Trail, Evergreen, CO 80439 | 2013-10-04 |
| 1235563867 | Sharon Bland Morgan | Registered Nurse | 5435 So. Twinspruce Rd., Evergreen, CO 80439 | 2013-08-30 |
| 1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
| Find all providers in zip 80439 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992270474 | Ann Cooley | Behavioral Analyst | 30321 Wingfoot Dr, Evergreen, CO 80439-8862 | 2018-10-10 |
| 1467855015 | Tracy Nelson | Behavioral Analyst | 32351 Lodgepole Dr, Evergreen, CO 80439-6649 | 2014-09-26 |
| 1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
| 1437470747 | Rosalie Byrd Prendergast | Behavioral Analyst | 2091 Kerr Gulch Rd, Evergreen, CO 80439-6398 | 2010-06-21 |
| 1093353989 | Keegan Brodie Schulze | Behavioral Analyst | 3155 Snow Trillium Way, Evergreen, CO 80439-9204 | 2019-12-11 |
| 1730643404 | Emily Vick | Behavioral Analyst | 3155 Snow Trillium Way, Evergreen, CO 80439-9204 | 2019-01-28 |
| 1548734056 | Iris Behavior Services LLC | Behavioral Analyst | 32351 Lodgepole Dr, Evergreen, CO 80439-6649 | 2019-01-17 |
| 1679014666 | Eclipse Therapy LLC | Behavioral Analyst | 2091 Kerr Gulch Rd, Evergreen, CO 80439-6398 | 2017-03-10 |
| 1114464187 | Seven Dimensions Behavioral Health, LLC | Behavioral Analyst | 3155 Snow Trillium Way, Evergreen, CO 80439-9204 | 2017-01-27 |
| 1043684749 | Eclipse Therapy LLC | Behavioral Analyst | 2091 Kerr Gulch Rd, Evergreen, CO 80439-6398 | 2015-11-18 |
| Find all providers in EVERGREEN | ||||
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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.