JACOB DINEEN (NPI# 1316563935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316563935 |
| Entity Type | Individual |
| Full Name | JACOB DINEEN |
| Practice Address |
4201 Dean Lakes Blvd Ste 160 Shakopee MN 55379-2863 |
| Practice Telephone | 5073227751 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| 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 |
4201 DEAN LAKES BLVD STE 160 |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608256 | Shana-kay Shantell Rose | Behavior Technician | 4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379-2863 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| 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 |
|---|---|---|---|---|
| 1922608256 | Shana-kay Shantell Rose | Behavior Technician | 4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379-2863 | 2020-10-27 |
| 1730787375 | Mary Kay Yozamp | Behavior Technician | 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 | 2020-10-15 |
| 1265039531 | Robb Luther Hawkinson | Behavior Technician | 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 | 2020-10-08 |
| 1104430255 | Harley Jean Brake Walker | Behavior Technician | 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 | 2020-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114393 | Fathi Shakul | Behavior Technician | 5118 Irving Ave N, Minneapolis, MN 55430-3440 | 2020-11-03 |
| 1972103224 | Bobbi Nielsen | Behavior Technician | 33854 630th Ave, Sargeant, MN 55973-8539 | 2020-10-27 |
| 1043810344 | Sucdi Ahmed Dahir | Behavior Technician | 3951 Dupont Ave N, Minneapolis, MN 55412-2036 | 2020-10-27 |
| 1922608314 | Farhiyo Sharmake | Behavior Technician | 8062 Jensen Ave S, Cottage Grove, MN 55016-3438 | 2020-10-27 |
| 1962002352 | Jama Abdi | Behavior Technician | 4630 Central Ave Ne Apt 102, Minneapolis, MN 55421-2483 | 2020-10-27 |
| 1245830702 | Rebecca Rose Thompson | Behavior Technician | 1041 9th Ave S Apt 8, South Saint Paul, MN 55075-3108 | 2020-10-26 |
| 1700484367 | Cassandra Marie Terch | Behavior Technician | 19437 Evans St Nw, Elk River, MN 55330-1074 | 2020-10-15 |
| 1629676424 | Archy Olson | Behavior Technician | 2 Shoreline Pl, Spring Park, MN 55384-9644 | 2020-10-14 |
| 1427656362 | Warda Odhowa | Behavior Technician | 2552 5th St Ne, Minneapolis, MN 55418-2837 | 2020-10-13 |
| 1679171516 | Muna Shire | Behavior Technician | 9133 Knox Ave S, Bloomington, MN 55431-2213 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACOB DINEEN.
| 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.