AMANDA MARIE TEBERG (NPI# 1225650179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225650179 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE TEBERG |
| Practice Address |
735 3rd St Sw Perham MN 56573-1152 |
| Mailing Address |
2804 E 26th St Ste 1 Sioux Falls SD 57103-4019 |
| Practice Telephone | 6052712690 |
| Practice Fax Number | 6052713956 |
| Mailing Telephone | 6052712690 |
| Mailing Fax Number | 6052713956 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
735 3RD ST SW |
| City | PERHAM |
| State | MN |
| Zip Code | 56573-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568476323 | Perham Hospital District | Skilled Nursing Facility | 735 3rd St Sw, Perham, MN 56573-1152 | 2006-07-28 |
| 1447863758 | Morgan Hanson | Day Training/Habilitation Specialist | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-26 |
| 1538770508 | Kayla Anderson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-13 |
| 1851901599 | Margaret Rennicke | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-07 |
| 1932724523 | Mikayla Borah | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-06-10 |
| 1942824081 | Abigail Sweere | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-06-04 |
| 1952923815 | Jennifer Yost | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1841812708 | Tiffany Washek | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1225664766 | Kayla Ostlund | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-03-17 |
| 1174164628 | Jessica H Deleo | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
| 1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
| 1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
| 1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
| 1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
| 1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
| 1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
| 1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
| 1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
| 1194793562 | Richard W Masur | Emergency Medicine | 665 3rd St Sw, Perham, MN 56573-1108 | 2006-03-10 |
| Find all providers in zip 56573 | ||||
| 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 |
|---|---|---|---|---|
| 1538770508 | Kayla Anderson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-13 |
| 1851901599 | Margaret Rennicke | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-07 |
| 1932724523 | Mikayla Borah | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-06-10 |
| 1942824081 | Abigail Sweere | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-06-04 |
| 1952923815 | Jennifer Yost | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1841812708 | Tiffany Washek | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1831711225 | Kieler Skaro | Behavior Technician | 316 6th Ave Sw, Perham, MN 56573-1508 | 2020-05-08 |
| 1578183596 | Tiffany Ann Tobkin | Behavior Technician | 316 6th Ave Sw, Perham, MN 56573-1508 | 2020-04-20 |
| 1528687845 | Chelsey M Hendrickx | Behavior Technician | 316 6th Ave Sw, Perham, MN 56573-1508 | 2020-04-16 |
| 1225664766 | Kayla Ostlund | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-03-17 |
| Find all providers in PERHAM | ||||
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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.