KAITLIN ABIGAIL WALTZ (NPI# 1386134690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386134690 |
| Entity Type | Individual |
| Full Name | KAITLIN ABIGAIL WALTZ |
| Practice Address |
9905 Fall Creek Rd. Indianapolis IN 46235 |
| Practice Telephone | 3178134690 |
| Mailing Telephone | 3178134690 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT16-13956 | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | RBT16-13 | Behavioral Health & Social Service Providers |
| Street Address |
9905 FALL CREEK RD. |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313769 | Patricia Woodfaulk | Student in an Organized Health Care Education/Training Program | 4660 Birmingham Drive, Indianapolis, IN 46235 | 2019-08-30 |
| 1447743794 | Pamela Zirkle | Counselor | 4126 E. 10th St., Indianapolis, IN 46235 | 2018-06-12 |
| 1619467560 | Ronkisha L Russell | Behavior Technician | 9905 Fallcreek Rd, Indianapolis, IN 46235 | 2018-05-16 |
| 1386132546 | Alexis Halpen | Behavior Technician | Damar Aba, 9905 Fall Creek Rd, Indianapolis, IN 46235 | 2018-04-24 |
| 1881712719 | Georgia Marie Brooks | Registered Nurse | 4065 Congaree Drive, Indianapolis, IN 46235 | 2007-03-27 |
| 1417042003 | The Health and Hospital Corporation of Marion County | Pharmacy | 9443 E 38th St, Indianapolis, IN 46235 | 2006-10-03 |
| 1366869828 | Mark M. Jamerson | Counselor | 9612 English Oak Dr, Indianapolis, IN 46235-1100 | 2014-03-23 |
| 1679981476 | Sylvester Carr Jr. | Counselor | 9443 Pepperidge Dr, Indianapolis, IN 46235-1162 | 2014-07-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| 1538405501 | Kavin Darnell Hudson | Driver | 3912 Delmont Dr, Indianapolis, IN 46235-1642 | 2012-12-19 |
| Find all providers in zip 46235 | ||||
| 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 |
|---|---|---|---|---|
| 1790383289 | True Legacy Family Services LLC | Behavior Technician | 9165 Otis Ave Ste 202, Indianapolis, IN 46216-2312 | 2020-10-15 |
| 1205442894 | Victoria Whittaker | Behavior Technician | 1543 Spann Ave, Indianapolis, IN 46203-1248 | 2020-09-18 |
| 1376160259 | Brenda Van Schaick-bianchi | Behavior Technician | 2425 Boyer Ln, Indianapolis, IN 46217-8793 | 2020-06-26 |
| 1861015471 | Samaria Hamilton | Behavior Technician | 4245 Blue Note Dr, Indianapolis, IN 46239-9815 | 2020-05-19 |
| 1518592138 | Tiara Nicole Schafer | Behavior Technician | 9850 Westpoint Dr, Indianapolis, IN 46256-3364 | 2020-03-04 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1972142347 | Karina Kay Smith | Behavior Technician | 9769 Crosspoint Blvd, Indianapolis, IN 46256-3346 | 2020-01-02 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1679039473 | Synetra Benson | Behavior Technician | 8527 Franklin Cove Way, Indianapolis, IN 46239-2261 | 2019-02-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46235 |
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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.