PATRICK HOLMBO (NPI# 1306369632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306369632 |
| Entity Type | Individual |
| Full Name | PATRICK HOLMBO |
| Credential | RBT |
| Practice Address |
7220 W Jefferson Ave Ste 202 Lakewood CO 80235-2023 |
| Mailing Address |
388 Sorrel Dr Windsor CO 80550-6007 |
| Practice Telephone | 3032257673 |
| Mailing Telephone | 2103174973 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-29098 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RBT-17-29098 | 05 |
| Street Address |
7220 W JEFFERSON AVE STE 202 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80235-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316340524 | Jenell Schnabel | Behavioral Analyst | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2014-10-01 |
| 1528668563 | Michaela Faith Draves | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2020-10-28 |
| 1922607860 | Melanie Grundvig | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2020-10-21 |
| 1063029239 | Rosemary Hernandez | Counselor | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2020-09-30 |
| 1073127502 | Lizbeth Saray South | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2020-09-02 |
| 1346850674 | Kristy Duggan | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2020-08-02 |
| 1841808722 | Erin Elizabeth Keyser | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2020-07-16 |
| 1821616400 | Anisa Nizar Ali I | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2020-07-09 |
| 1154948313 | Rebecca Lynn Behr | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2020-07-02 |
| 1629695077 | Lea Tatiana Helm | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244051 | Nicole Gan | Behavioral Analyst | 7220w. Jefferson Ave Suite 202, Lakewood, CA 80235 | 2017-09-25 |
| 1336684059 | Preferred Homecare Infusion, LLC | Durable Medical Equipment & Medical Supplies | 6900 W Jefferson Ave Ste 130, Lakewood, CO 80235 | 2017-01-04 |
| 1457501637 | Patrick John Rydell | Speech-Language Pathologist | 3636 S. Independence St., Lakewood, CO 80235 | 2008-09-24 |
| 1164631644 | Carole M. Emanuel | Dentist | 7373 West Jefferson Ave., Suite #304, Lakewood, CO 80235 | 2007-05-22 |
| 1235259680 | Christopher David Elson | Dentist | 7373 W. Jefferson Ave #403, Lakewood, CO 80235 | 2007-03-30 |
| 1750420840 | Kelly Z Crim | Counselor | 3900 S. Wadsworth Blvd Suite 360, Lakewood, CO 80235 | 2007-02-05 |
| 1750469714 | Paul Henry Arendt | Dentist | 7373 W Jefferson Ave #304, Lakewood, CO 80235 | 2006-11-01 |
| 1750491544 | Sharon Diane Hilderbrant | Psychologist | 7220 W Jefferson Ave, Suite 307, Lakewood, CO 80235 | 2006-08-30 |
| 1114478575 | Brennan Bonati | Dentist | 7373 W Jefferson Ave, Lakewood, CO 80235 | 2016-10-20 |
| 1295155331 | Kelci Sansoni | Social Worker | 3595 S Teller St, Lakewood, CO 80235 | 2014-04-16 |
| Find all providers in zip 80235 | ||||
| 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 |
|---|---|---|---|---|
| 1710502489 | Emily Russell | Behavior Technician | 265 S Harlan St # 80226, Lakewood, CO 80226-2261 | 2020-06-09 |
| 1194359943 | Carlee Lacer | Behavior Technician | 573 Van Gordon St Apt 3-320, Lakewood, CO 80228-1226 | 2020-03-01 |
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1992352926 | Madison Comstock | Behavior Technician | 14237 W Iliff Ave, Lakewood, CO 80228-5421 | 2019-08-23 |
| 1598311474 | Amber Jasmine Mcwha | Behavior Technician | Trumpet Behaviroal Health, 390 Union Blvd Ste 300, Lakewood, CA 80228-6514 | 2019-08-15 |
| 1194385708 | Edward Robert Johnson | Behavior Technician | West 6th Avenue Suite 1000, Lakewood, CO 80215-8021 | 2019-06-17 |
| 1548829575 | Taryn Noelle Syler | Behavior Technician | 7220 W Jefferson Ave Ste 220, Lakewood, CO 80235-2031 | 2019-06-12 |
| 1477111227 | Prana Briggs | Behavior Technician | 7902 Jade Drive Sw, Lakewood, WA 98498 | 2019-06-05 |
| 1689135246 | Paige Poudrier | Behavior Technician | 6446 Eberle St, Lakewood, CA 90713-2208 | 2019-03-27 |
| Find all providers in LAKEWOOD | ||||
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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.