STEPHANIE DRAKE


Address: 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589
Phone: 3173347331

STEPHANIE DRAKE (NPI# 1306444062) 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) 1306444062
Entity Type Individual
Full Name STEPHANIE DRAKE
Practice Address 451 S Park Ridge Rd Ste 102
Bloomington
IN 47401-8589
Practice Telephone 3173347331
Practice Fax Number 3173347336
Mailing Telephone 3173347331
Mailing Fax Number 3173347336
Enumeration Date 2020-10-15
Last Update Date 2020-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers STEPHANIE DRAKE

NPI Name Taxonomy Address Enumeration
1326528092 Stephanie Renee Drake Speech-Language Pathologist 1739 Bull Elk Dr, Stephenville, TX 76401 2018-08-21
1578847885 Stephanie Anne Drake Speech-Language Pathologist 1500 Dayspring Drive, Walworth, NY 14568 2011-10-05
1790290799 Stephanie Drake Behavioral Analyst 9167 W Flamingo Rd, Las Vegas, NV 89147-6472 2017-12-12
1598053571 Stephanie Jo Drake Physical Therapy Assistant 1235 N Mulford Rd, Rockford, IL 61107-3879 2011-07-12
1083899652 Stephanie Allison Drake Counselor 547 Dayton St, Edmonds, WA 98020-3431 2008-01-02

Office Location

Street Address 451 S PARK RIDGE RD STE 102
City BLOOMINGTON
State IN
Zip Code 47401-8589

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528288446 Pamalee Michele Larr Counselor 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 2007-04-26
1235737289 Alyssa Smith Behavior Technician 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 2020-10-13
1124625157 Haleigh Armstrong Behavior Technician 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 2020-10-02
1386255305 Hanna Tolbert Behavioral Analyst 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 2020-08-13
1609431261 Jordan Rose Deboy Behavioral Analyst 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 2019-05-08
1861900193 Daniell Walker Behavior Technician 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 2018-01-22
1912415233 Kassandra Mcaninch Behavior Technician 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 2018-01-22
1275049991 Bradley Patitz Behavior Technician 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 2017-12-18
1447769716 Amy Sorensen Behavioral Analyst 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 2017-09-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740765791 Holly G Carter Physical Therapist 3607 Heirloom Dr, Bloomington, IN 47401 2018-09-26
1285116657 Kimberly D Bergan Occupational Therapist 3607 S Heirloom Dr, Bloomington, IN 47401 2018-09-03
1255836813 Erin Kathleen Sain Nurse Practitioner 326 W Woodcrest Drive, Bloomington, IN 47401 2018-03-27
1881104289 Ev Bloomington Limited Partnership Assisted Living Facility 3607 South Heirloom Drive, Bloomington, IN 47401 2017-10-11
1619496536 Kirsten N Neely Physical Therapist 2604 E. Creek's Edge Dr., Bloomington, IN 47401 2017-09-12
1023533908 Hoosier United Therapy Service LLC Physical Therapist 2801 E Plateau Place, Bloomington, IN 47401 2017-08-11
1194127381 Ann Marie Neeley Lactation Consultant, Non-RN 2458 South Walnut Street, Bloomington, IN 47401 2014-09-19
1518397801 Indiana Spine and Sports Inc. Chiropractor 418 S Walnut St Suite C, Bloomington, IN 47401 2013-11-22
1053654574 William Robblee Anderson Obstetrics & Gynecology 2625 E. Spicewood Ct., Bloomington, IN 47401 2013-04-03
1285979377 Jenna Marie Dale Optometrist 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 2012-11-30
Find all providers in zip 47401

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679171516 Muna Shire Behavior Technician 9133 Knox Ave S, Bloomington, MN 55431-2213 2020-10-13
1366051757 Hussein Mohamed Behavior Technician 8735 Portland Ave S Apt 208, Bloomington, MN 55420-2959 2020-07-30
1942819339 Farhan Ahmed Mohamoud Behavior Technician 9201 Nicollet Ave S Apt 221, Bloomington, MN 55420-3767 2020-07-30
1891328050 Rebecca Rothwell Behavior Technician 1801 American Blvd E Ste 10, Bloomington, MN 55425-1217 2020-02-17
1881232650 Sarah E Brown Behavior Technician 772 S Lancewood Ave, Bloomington, CA 92316-1343 2019-12-12
1518500727 Kerri R Reese Behavior Technician 500 S Morton St Ste 10, Bloomington, IN 47403-2460 2019-10-21
1568920056 Jessica M Guzman Behavior Technician 17796 Marygold Ave, Bloomington, CA 92316-1918 2019-03-04
1558840314 Alexia Cisneros Behavior Technician 526 S Ironwood Ave, Bloomington, CA 92316-1218 2018-08-11
1497240469 Mikayla Slegh Behavior Technician 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 2018-06-22
1053629246 Reach High Consulting and Therapy, LLC Behavior Technician 1501 W Tapp Rd, Bloomington, IN 47403-3459 2010-09-22
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 47401

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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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