LANEY MATLYN PARK (NPI# 1245857325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245857325 |
| Entity Type | Individual |
| Full Name | LANEY MATLYN PARK |
| Practice Address |
523 N 291 Hwy Liberty MO 64068-1045 |
| Mailing Address |
5863 Nw 72nd St Kansas City MO 64151-1483 |
| Practice Telephone | 8163840099 |
| Mailing Telephone | 8169848280 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
523 N 291 HWY |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508332818 | Shelby Jenkins | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2018-10-15 |
| 1508484353 | Jesse Cathrine Goff | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2020-07-08 |
| 1588201297 | Mariah R Dobson | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2019-12-02 |
| 1497392104 | Austin Hughes | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2019-12-02 |
| 1417509936 | Bayenne Abdullah Kirkwood | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2019-07-15 |
| 1013579481 | Abigail Tomczuk | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2019-07-05 |
| 1003478470 | Mackenzie Burch | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2019-07-05 |
| 1518526714 | Morgan Dryer | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2019-06-11 |
| 1396301545 | Tio Toke Krizogono | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2019-05-14 |
| 1376107359 | Sean Sneen | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2019-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| 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 |
|---|---|---|---|---|
| 1306301924 | Jennifer R Preston | Behavior Technician | 305 S Forrest Ave Apt 11, Liberty, MO 64068-1983 | 2019-02-07 |
| 1063983203 | Jennifer Lynn Heady | Behavior Technician | 1 W Brown St, Liberty, MO 64068-2403 | 2018-12-16 |
| 1508332818 | Shelby Jenkins | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2018-10-15 |
| 1821697855 | Emily Brooke Bramblett | Behavior Technician | 523 N State Route 291, Liberty, MO 64068-1045 | 2020-10-21 |
| 1457964223 | Mallory Farris Carty I | Behavior Technician | 523 N State Route 291, Liberty, MO 64068-1045 | 2020-08-31 |
| 1043821077 | Eleanor Dayton | Behavior Technician | 523 N State Route 291, Liberty, MO 64068-1045 | 2020-08-13 |
| 1710598008 | Summer Jean Scott | Behavior Technician | 523 N State Route 291, Liberty, MO 64068-1045 | 2020-08-11 |
| 1679183107 | Haley Robertson | Behavior Technician | 523 N State Route 291, Liberty, MO 64068-1045 | 2020-08-10 |
| 1598375677 | Kearston Breann Mohney | Behavior Technician | 523 N State Route 291, Liberty, MO 64068-1045 | 2020-08-04 |
| 1508484353 | Jesse Cathrine Goff | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2020-07-08 |
| Find all providers in LIBERTY | ||||
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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.