POWDER RIVER BEHAVIOR CONSULTATION, LLC (NPI# 1336526979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336526979 |
| Entity Type | Organization |
| Organization Name | POWDER RIVER BEHAVIOR CONSULTATION, LLC |
| Practice Address |
812 Glacier St Gillette WY 82718-5752 |
| Practice Telephone | 9499223043 |
| Mailing Telephone | 9499223043 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | MRS. KRISTINA MARIE LESLIE (OWNER) |
| Authorized Official Telephone | 9499223043 |
| Authorized Official Credential | LMFT, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-13-13894 | CO | Behavioral Health & Social Service Providers |
| Street Address |
812 GLACIER ST |
| City | GILLETTE |
| State | WY |
| Zip Code | 82718-5752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912413964 | Kaylyn Brook Bahnson | Pharmacist | 2000 South Douglas Hwy Walgreens Pharmacy, Gillette, WY 82718 | 2017-12-28 |
| 1205373073 | Cheryl Trembath | Counselor | 201 West Lakeway Rd, Suite 1004, Gillette, WY 82718 | 2017-01-31 |
| 1043769078 | Employment Testing Services | Clinical Medical Laboratory | 3805 South Douglas Hwy, Unit 1, Gillette, WY 82718 | 2016-10-03 |
| 1750730339 | Caritas Mental Health LLC | Community/Behavioral Health | 5204 Raven St, Gillette, WY 82718 | 2016-06-06 |
| 1902298029 | Jena Cowen | Day Training, Developmentally Disabled Services | 5305 Cowen Drive, Gillette, WY 82718 | 2015-02-26 |
| 1720480635 | Brenda Kay Upton | Pharmacist | 2300 S Douglas Highway, Gillette, WY 82718 | 2014-09-23 |
| 1891127825 | Bighorn Dental Clinic PC | Dentist | 4403 Running W. Drive, Gillette, WY 82718 | 2013-08-01 |
| 1750726212 | High Desert Healthcare LLC | Clinic/Center | 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718 | 2013-05-09 |
| 1225224231 | County of Campbell | Public Health or Welfare | 2301 South 4j Rd, Gillette, WY 82718 | 2007-09-24 |
| 1043424336 | Lowell R Amiotte II | Anesthesiology | 3100 W Lakeway Suite 3, Northern Plains Anesthesia Associates, Gillette, WY 82718 | 2007-05-09 |
| Find all providers in zip 82718 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184275174 | Lauren Lupton | Behavioral Analyst | 190 Mountain Ave, Gillette, NJ 07933-1605 | 2019-09-22 |
| 1316592082 | Sarah Michelle Bahige | Behavioral Analyst | 812 E 4th St, Gillette, WY 82716-4033 | 2019-08-08 |
| 1790205318 | Kaydie Merrill | Behavioral Analyst | 3907 Chippewa Ave, Gillette, WY 82718-6674 | 2017-06-24 |
| 1376868364 | Tara Sheerin | Behavioral Analyst | 28 Hillside Dr, Gillette, NJ 07933-1405 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454764 | Shondra M Rasmussen | Behavioral Analyst | 3800 Sunset Dr Spc 30, Rock Springs, WY 82901-6902 | 2020-07-21 |
| 1902460736 | Stuart Mullins | Behavioral Analyst | 120 Indian Lookout Dr, Lander, WY 82520-3057 | 2019-04-26 |
| 1346707122 | Perla Marie Exinia Poutinen | Behavioral Analyst | 5022 Crews Ct, Cheyenne, WY 82001-2203 | 2019-02-27 |
| 1467955518 | Cheryl L Coleman | Behavioral Analyst | 26 Far View Cir, Riverton, WY 82501-9760 | 2018-03-15 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1811447295 | Marybeth Gundlach | Behavioral Analyst | 1408 Bismark Dr Unit B, Powell, WY 82435-9195 | 2016-10-10 |
| 1104374214 | Sarah Boyko | Behavioral Analyst | 1511 Mydland Rd Lot 46, Sheridan, WY 82801-2139 | 2016-09-18 |
| 1588019327 | Michael Bohn | Behavioral Analyst | 9 Skyview Cir, Newcastle, WY 82701-9441 | 2016-04-29 |
| 1992170021 | Kandice Hansen | Behavioral Analyst | 5927 Crow Rd, Cheyenne, WY 82009-4168 | 2015-12-01 |
| 1073987194 | Christine Herron | Behavioral Analyst | 509 E Jefferson Rd, Lot 34, Cheyenne, WY 82007-2457 | 2015-12-01 |
| 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.