EMILY ANN FAIR (NPI# 1306339007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306339007 |
| Entity Type | Individual |
| Full Name | EMILY ANN FAIR |
| Credential | RBT |
| Practice Address |
4905 18th Ave Uppr Kenosha WI 53140-3295 |
| Practice Telephone | 2627459266 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 17-45169 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964787 | Emily Fair | Chiropractor | 351 Fairview Ave Ste 600, Hudson, NY 12534-1270 | 2020-05-20 |
| 1922616762 | Emily Fair | Specialist | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-17 |
| Street Address |
4905 18TH AVE UPPR |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-3295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| 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 |
|---|---|---|---|---|
| 1093354326 | Shawnna Smith | Behavior Technician | 7947 17th Ave, Kenosha, WI 53143-5959 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845320 | Maren Alexandra Clark | Behavior Technician | 901 Whalen Rd, Verona, WI 53593-1765 | 2020-09-15 |
| 1255958104 | Rachel Hanson | Behavior Technician | 917 18 Three Quarters Street, Chetek, WI 54728 | 2020-06-26 |
| 1235752502 | Amanda Hartung | Behavior Technician | 9120 W Loomis Rd Ste 400, Franklin, WI 53132-9083 | 2020-05-21 |
| 1174143150 | Evan Jochimsen | Behavior Technician | 3131 S Nevada St, Milwaukee, WI 53207-2827 | 2020-04-20 |
| 1609405703 | Alexandra Dawn Niemi | Behavior Technician | N4689 Meade St, Appleton, WI 54913-9545 | 2020-04-02 |
| 1972130920 | Kendra Mazahreh | Behavior Technician | 901 Whalen Rd Ste A, Verona, WI 53593-1766 | 2020-03-26 |
| 1851948152 | Courtney Krystal Gibbons | Behavior Technician | N20527 County Road J, Arcadia, WI 54612-1786 | 2019-08-21 |
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1578117412 | Raven Renje | Behavior Technician | 23725 127th St, Trevor, WI 53179-9437 | 2019-07-29 |
| 1386107589 | Jerusha Carter | Behavior Technician | 1785 Dublin Trl Apt 104, Neenah, WI 54956-6901 | 2019-04-13 |
| Find all providers with the same taxonomy | ||||
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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.