BROOKE VALLANCE (NPI# 1285265603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285265603 |
| Entity Type | Individual |
| Full Name | BROOKE VALLANCE |
| Practice Address |
602 E Park Ave Anaconda MT 59711-2469 |
| Practice Telephone | 4065630260 |
| Mailing Telephone | 4065630260 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
602 E PARK AVE |
| City | ANACONDA |
| State | MT |
| Zip Code | 59711-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053678623 | Kimberly Piper | Behavioral Analyst | 602 E Park Ave, Anaconda, MT 59711-2469 | 2012-04-19 |
| 1710501515 | Kaylee Walter | Speech-Language Pathologist | 602 E Park Ave, Anaconda, MT 59711-2469 | 2020-06-08 |
| 1316583966 | Jessica A Watson | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-11-19 |
| 1043855455 | Craig Kolpin | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-11-08 |
| 1386287233 | Kyla Mattila | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-10-23 |
| 1720621667 | Ashley A Neighbor | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-10-23 |
| 1659933992 | Adam Hocking | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-07-08 |
| 1831665421 | Haley Headley | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2018-10-22 |
| 1487132510 | Cassandra Davis-boggess | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2018-07-31 |
| 1902384035 | Hailey Giacomini | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2018-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
| 1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| 1356765747 | William Leroy Foster Jr. | Counselor | 1250 Harrison Ave, Butte, MT 59711 | 2014-02-06 |
| 1346464310 | Cheryl Anne Dunn | Speech-Language Pathologist | 1771 Obsidian Lane, Anaconda, MT 59711 | 2007-04-12 |
| 1043304504 | Gerianne Roberta Marchion | Counselor | 307 E Park Ave. #208, Anaconda, MT 59711 | 2006-10-02 |
| 1427153881 | Community Hospital of Anaconda | Internal Medicine | 401 W Pennsylvania, Anaconda, MT 59711 | 2006-09-13 |
| 1851301121 | Renee S. Riley-finnegan | Counselor | 307 E. Park Glacier Bank Bldg., Ste. 310a, Anaconda, MT 59711 | 2006-08-09 |
| 1942234513 | Richard Roy Jensen | Physical Therapist | 3383 Lost Creek Rd, Anaconda, MT 59711 | 2006-07-10 |
| 1982656229 | William M Reiter | Internal Medicine | 606 E Park Ave, Anaconda, MT 59711 | 2006-05-16 |
| Find all providers in zip 59711 | ||||
| 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 |
|---|---|---|---|---|
| 1316583966 | Jessica A Watson | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-11-19 |
| 1043855455 | Craig Kolpin | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-11-08 |
| 1386287233 | Kyla Mattila | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-10-23 |
| 1720621667 | Ashley A Neighbor | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-10-23 |
| 1659933992 | Adam Hocking | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-07-08 |
| 1831665421 | Haley Headley | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2018-10-22 |
| 1487132510 | Cassandra Davis-boggess | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2018-07-31 |
| 1902384035 | Hailey Giacomini | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2018-07-31 |
| 1770061806 | Onna Maesar | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2018-07-31 |
| 1972081099 | Tara Pelletier | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2018-07-31 |
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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.