PERFECT FIT FOUNDATION OF SWK LLC


Address: 2601 Central Ave Ste 36a, Dodge City, KS 67801-6200
Phone: 6202532920

PERFECT FIT FOUNDATION OF SWK LLC (NPI# 1295341758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295341758
Entity Type Organization
Organization Name PERFECT FIT FOUNDATION OF SWK LLC
Practice Address 2601 Central Ave Ste 36a
Dodge City
KS 67801-6200
Mailing Address Po Box 1884
Dodge City
KS 67801-1884
Practice Telephone 6202532920
Practice Fax Number 6203716570
Mailing Telephone 6202532920
Mailing Fax Number 6203716570
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Authorized Official Name SUMAR JAN STORMONT (CLINIC DIRECTOR)
Authorized Official Telephone 6202532920
Is Organization Subpart Y
Parent Organization Name PERFECT FIT FOUNDATION OF SWK LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Perfect Fit Therapy Clinic Doing Business As Name - Organization

Office Location

Street Address 2601 CENTRAL AVE STE 36A
City DODGE CITY
State KS
Zip Code 67801-6200

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598294589 Jeremy L Luthi Physical Therapist 2200 Summerlon Circle, Suite D, Dodge City, KS 67801 2017-06-05
1851796635 Larry Martin Pharmacist 1700 N 14th, Dodge City, KS 67801 2014-10-23
1588934038 Janet R Giefer Occupational Therapy Assistant 510 W Frontview, Dodge City, KS 67801 2011-12-30
1982855565 Sandra M Herder Nurse Practitioner 100 Ross Blvd Suite 2a, Dodge City, KS 67801 2008-10-01
1689820300 Gloria Andrade Counselor 207 W Spruce, Dodge City, KS 67801 2008-08-13
1396957213 F Rodney Copeland Optometrist 2405 Central, Dodge City, KS 67801 2007-05-04
1881710879 Kathleen Joan Warner-long Counselor 506 Avenue L, Dodge City, KS 67801 2007-03-21
1396884961 Kansas Soldiers Home Skilled Nursing Facility 201 Custer, Fort Dodge, KS 67801 2007-02-06
1083774954 Sherron S Mcreynolds Registered Nurse 101 Plaza Terrace, Dodge City, KS 67801 2006-12-11
1477621159 Dodge City Dental Care Dentist 2300 N 14th Street, Suite 202, Dodge City, KS 67801 2006-12-01
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
1447859236 All Star Autism Services LLC Behavioral Analyst 4000 W 68th St, Prairie Village, KS 66208-2103 2020-10-22
1689287914 Lisa Marie Ambrosek Behavioral Analyst 7725 W 87th Street, Overland Park, KS 66212 2020-08-26
1861016792 Stiehl Behavioral Consulting, LLC Behavioral Analyst 888 New Hampshire St Apt 204, Lawrence, KS 66044-2769 2020-06-06
1265052831 Beyond The Individual, LLC Behavioral Analyst 8346 Redbird St, Shawnee, KS 66227-8701 2020-04-23
1134749963 Bess Perkins Behavioral Analyst 10834 S Belford St, Olathe, KS 66061-2892 2020-04-22
1942835525 Kristen Rangel Behavioral Analyst 1710 W Schilling Road, Salina, KS 67401 2020-03-04
1881228666 Willow Aba Services LLC Behavioral Analyst 9142 W 135th St # Sr, Overland Park, KS 66221-2044 2020-03-02
1326672353 Skylar Moore Behavioral Analyst 620 S. Rodgers Rd, Olathe, KS 66062 2020-02-28
1417580226 Jessica Kraisinger Behavioral Analyst 1312 Patton Rd, Great Bend, KS 67530-3120 2020-02-20
1740824812 Meagan Etheridge Behavioral Analyst 8994 Se Pleasant Hl, Sharon, KS 67138-9041 2019-11-01
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Competitor

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City DODGE CITY
Zip Code 67801

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Dataset Information

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.

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