EMILY PRANGE (NPI# 1336779172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336779172 |
| Entity Type | Individual |
| Full Name | EMILY PRANGE |
| Practice Address |
4770 Baseline Rd Ste 200 Boulder CO 80303-2668 |
| Mailing Address |
18726 S Western Ave Ste 408 Gardena CA 90248-3858 |
| Practice Telephone | 9706823476 |
| Practice Fax Number | 8555682494 |
| Mailing Telephone | 3108560800 |
| Mailing Fax Number | 8555682494 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 18-73866 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4770 BASELINE RD STE 200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457539603 | Heather L. Steffen | Psychologist | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2008-02-08 |
| 1871123356 | Alexis Larocca | Behavior Technician | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2020-01-23 |
| 1528698339 | Mikio Minobe | Behavior Technician | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2020-01-21 |
| 1871139337 | Antonio Stone | Nurse Practitioner | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2019-11-20 |
| 1336687060 | Sarah Schumacher | Registered Nurse | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2017-02-01 |
| 1942668165 | Joseph Yeretsian, P.C. | Clinic/Center | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2016-02-02 |
| 1154715894 | Marnessa J Bambara | Social Worker | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2015-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| 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 |
|---|---|---|---|---|
| 1063010700 | Alyssa Ponsolle | Behavior Technician | 2305 Broadway St Fl 300010, Boulder, CO 80304-4106 | 2020-10-14 |
| 1538625298 | Anuja Anna Varghese | Behavior Technician | 860 W Moorhead Cir Apt 2i, Boulder, CO 80305-6131 | 2019-02-18 |
| 1235626151 | Chelsea Stallan | Behavior Technician | 4730 Table Mesa Dr # H200, Boulder, CO 80305-5560 | 2018-04-16 |
| 1215431630 | Mira Vk Patel | Behavior Technician | 4730 Table Mesa Dr Ste H-200, Boulder, CO 80305-5560 | 2018-03-20 |
| 1699283986 | Matthew Emrikson | Behavior Technician | 4730 Table Mesa Dr Ste H200, Boulder, CO 80305-5560 | 2018-01-20 |
| 1679089791 | Tiara Sutton | Behavior Technician | 2244 Goss Cir E Apt 1, Boulder, CO 80302-6635 | 2017-12-27 |
| 1225638927 | Alyssa Arden Reed | Behavior Technician | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-10-30 |
| 1417557315 | Danya Jade Demayo-lockhart | Behavior Technician | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-10-29 |
| 1710587985 | Caitlyn Fitzgerald | Behavior Technician | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-10-27 |
| 1346849874 | Olivia Soukup | Behavior Technician | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-10-26 |
| Find all providers in BOULDER | ||||
Please comment or provide details below to improve the information on EMILY PRANGE.
| 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.