ANTHONY TRAVON BALLAST (NPI# 1295391225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295391225 |
| Entity Type | Individual |
| Full Name | ANTHONY TRAVON BALLAST |
| Practice Address |
3120 Old Faithful Rd Ste 200 Cheyenne WY 82001-5887 |
| Mailing Address |
2214 Pebrican Ave Cheyenne WY 82001-3852 |
| Practice Telephone | 3072212937 |
| Mailing Telephone | 3072203201 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| 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 |
3120 OLD FAITHFUL RD STE 200 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-5887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| 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 |
|---|---|---|---|---|
| 1720549579 | Tracey Y Hall | Behavior Technician | 205 Storey Blvd Ste 120, Cheyenne, WY 82009-3566 | 2019-03-26 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1346718632 | Megan C Strickler | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2018-11-05 |
| 1619575230 | Sara Shaw | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-15 |
| 1184222770 | Quinlan Kautzman | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-15 |
| 1801494562 | Jessica Kautzman | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-15 |
| 1184222903 | Celina Luther | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-14 |
| 1205434040 | Heaven Haley Varela | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-14 |
| 1588261010 | Kodee Griffith | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-07 |
| 1043817778 | Diane Meyer | Behavior Technician | 3120 Old Faithful Rd Ste 100, Cheyenne, WY 82001-5890 | 2020-10-06 |
| Find all providers in CHEYENNE | ||||
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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.