SHAUNA HACKEROTT (NPI# 1326683780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326683780 |
| Entity Type | Individual |
| Full Name | SHAUNA HACKEROTT |
| Practice Address |
2420 24th St Great Bend KS 67530-2428 |
| Mailing Address |
971 E Wichita Ave Russell KS 67665-2444 |
| Practice Telephone | 6208994828 |
| Mailing Telephone | 6208994828 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 22269 | 22269 | 01 |
| Street Address |
2420 24TH ST |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| 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 |
|---|---|---|---|---|
| 1205471661 | Brooklyn Burkhart | Behavior Technician | 3706 Meadowlark Ln, Great Bend, KS 67530-7465 | 2019-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063253 | Morgan Smith | Behavior Technician | 9900 Mission Rd, Prairie Village, KS 66206-2423 | 2020-11-08 |
| 1699398164 | Ashley Brown | Behavior Technician | 709 Brookside Pl # PC, Colwich, KS 67030-9683 | 2020-05-19 |
| 1164058889 | Noah Michael Markovetz | Behavior Technician | 2225 Buckingham St Apt 10, Manhattan, KS 66503-2122 | 2020-03-13 |
| 1285279513 | Amy Nguyen | Behavior Technician | 9700 W 104th St, Overland Park, KS 66212-5607 | 2019-11-11 |
| 1619519337 | Wanda Christian | Behavior Technician | 20495 Umphrey Rd, La Cygne, KS 66040-9162 | 2019-10-14 |
| 1760032247 | Janeth Alejandra Matar | Behavior Technician | 741 S 76th St, Kansas City, KS 66111-2721 | 2019-09-16 |
| 1912557570 | Zijie Ma | Behavior Technician | 1823 Kentucky St, Lawrence, KS 66044-4127 | 2019-09-16 |
| 1295384675 | Shaelly Cole | Behavior Technician | 2228 Brookwood Ln, Salina, KS 67401-3714 | 2019-09-08 |
| 1740836600 | Kristen Elizabeth Jones | Behavior Technician | 901 Moro St Apt H, Manhattan, KS 66502-7860 | 2019-08-15 |
| 1841846938 | Jaleah Morgan | Behavior Technician | 121 W Beloit Ave, Salina, KS 67401-6017 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
Please comment or provide details below to improve the information on SHAUNA HACKEROTT.
| 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.