MARY KENNEMUR (NPI# 1396155214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396155214 |
| Entity Type | Individual |
| Full Name | MARY KENNEMUR |
| Practice Address |
3171 S Jones Blvd Las Vegas NV 89146-6703 |
| Mailing Address |
10524 Galleon Peak Ln Las Vegas NV 89166-5040 |
| Practice Telephone | 7025868693 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3171 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-6703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295056646 | Jeanine Hall | Social Worker | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2010-06-21 |
| 1396231700 | Ayesha Muhammad | Case Manager/Care Coordinator | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2018-07-09 |
| 1912399106 | Jonathan Travis | Counselor | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2015-02-24 |
| 1104218551 | Traci Jasper | Counselor | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2015-02-23 |
| 1033500897 | Krystin Cabilan | Counselor | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2015-02-13 |
| 1427464213 | Lionel Paz | Behavioral Analyst | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2014-07-01 |
| 1841600947 | Theodore Roosevelt Smith IIi | Behavioral Analyst | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2014-04-29 |
| 1619393097 | Edwin Beltre | Behavioral Analyst | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2014-03-10 |
| 1801212378 | Achmed Henry | Counselor | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2014-03-08 |
| 1710303268 | Tremaine Carmouche | Behavioral Analyst | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2014-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
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| 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 |
|---|---|---|---|---|
| 1740889963 | Acacia Ravon Mccrea | Behavioral Analyst | 7351 W Charleston Blvd Unit 102, Las Vegas, NV 89117-1502 | 2020-10-19 |
| 1821696287 | Marilyn Hutcherson | Behavioral Analyst | 4185 Vegas Valley Dr Ste B, Las Vegas, NV 89121-2522 | 2020-10-16 |
| 1952909608 | Lissette Marie Saenz | Behavioral Analyst | 9700 W Sunset Rd Apt 2009, Las Vegas, NV 89148-4799 | 2020-10-14 |
| 1134727910 | Songbird Health Nv LLC | Behavioral Analyst | 5940 S Rainbow Blvd Ste 400, Las Vegas, NV 89118-2507 | 2020-10-13 |
| 1548867955 | Nv Mc Sprout 1 LLC | Behavioral Analyst | 8465 W Sahara Ave Ste 111, Las Vegas, NV 89117-8902 | 2020-10-08 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1215544317 | Specialized Care Services LLC | Behavioral Analyst | 5615 Cameron St Ste 9, Las Vegas, NV 89118-2233 | 2020-09-23 |
| 1629681291 | A Wright Mind, LLC | Behavioral Analyst | 1810 E Sahara Ave # 113, Las Vegas, NV 89104-3707 | 2020-08-25 |
| 1861000184 | Rhonda Renee Murphy | Behavioral Analyst | 4664 Sand Creek Ave Apt A, Las Vegas, NV 89103-1535 | 2020-07-22 |
| 1801413539 | Mattie Simpson | Behavioral Analyst | 2500 W Washington Ave Bldg B, Las Vegas, NV 89106-3731 | 2020-06-29 |
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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.