KYLE SHARP (NPI# 1336700343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336700343 |
| Entity Type | Individual |
| Full Name | KYLE SHARP |
| Practice Address |
201 W Main St Ste 4b Medford OR 97501-2734 |
| Practice Telephone | 5414141720 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912437781 | Kyle C Sharp | Dentist | 407 East Howard Street, Mansfield, AR 72944 | 2017-06-14 |
| Street Address |
201 W MAIN ST STE 4B |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942421003 | Gregory Simmons | Counselor | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2007-05-02 |
| 1023628187 | Maureen Chambers Honeycutt | Case Manager/Care Coordinator | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2020-08-04 |
| 1760016968 | Mya Mercedes Drawe | Counselor | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2020-02-26 |
| 1255964292 | Jake Anthony Weigel | Counselor | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2020-02-18 |
| 1164062006 | Richard Francis Benfatto | Counselor | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2020-01-08 |
| 1710533203 | Leslie Elizabeth Claridge Town | Counselor | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2019-08-12 |
| 1295380624 | Kim Evelyn Wolforth | Counselor | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2019-08-02 |
| 1023574464 | Lisa Mae Denison | Behavioral Analyst | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2019-02-11 |
| 1003389511 | Jessica Baldwin | Behavior Technician | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2019-01-08 |
| 1962984179 | Athena Janel Allemand | Behavioral Analyst | 201 W Main St Ste 4b, Medford, OR 97501-2734 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1245839372 | Giovanni Germain | Behavior Technician | 29 Fells Avenue Ter, Medford, MA 02155-1913 | 2020-10-20 |
| 1306304373 | Ariana Guerra | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2019-03-07 |
| 1144737412 | Tayler Rose | Behavior Technician | 227 Boston Ave, Medford, MA 02155-4223 | 2018-01-08 |
| 1548773120 | Corinne Waters | Behavior Technician | 20 Hillsdale Rd, Medford, MA 02155-5229 | 2017-11-06 |
| 1710499389 | Kira Gabridge | Behavior Technician | 14 Farragut Ave, Medford, MA 02155-4012 | 2017-11-03 |
| 1720685068 | Jessica Faas | Behavior Technician | 2368 Crater Lake Ave Ste 102, Medford, OR 97504-5006 | 2020-10-08 |
| 1003423948 | Jasmin S Putnam | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2020-09-24 |
| 1033735220 | Colbi Breanne Mcbride | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2020-06-23 |
| 1447881198 | Arnold Jorge Lopez | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2020-01-31 |
| 1063043206 | Andrew Giardinelli | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2020-01-27 |
| Find all providers in MEDFORD | ||||
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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.