KIMBERLEE HAYCOCK (NPI# 1417488396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417488396 |
| Entity Type | Individual |
| Full Name | KIMBERLEE HAYCOCK |
| Practice Address |
1417 Cactus St Wendover NV 89883-3030 |
| Mailing Address |
Po Box 3848 1417 Cactu St Wendover NV 89883-3848 |
| Practice Telephone | 7759342745 |
| Mailing Telephone | 7759342745 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-13110 | NV | Behavioral Health & Social Service Providers |
| Street Address |
1417 CACTUS ST |
| City | WENDOVER |
| State | NV |
| Zip Code | 89883-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801118351 | Rehab & Industrial Services | Preferred Provider Organization | 925 North Wells Avenue, Unit B, West Wendover, NV 89883 | 2010-02-25 |
| 1891877734 | State of Nevada | Clinic/Center | 925 Wells Ave, Wendover, NV 89883 | 2006-10-19 |
| 1982793998 | Justin Henry Sacripante | Physician Assistant | 925 Wells Avenue, W. Wendover, NV 89883 | 2006-10-11 |
| 1396760914 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1855 West Wendover Blvd, Wendover, NV 89883 | 2006-07-13 |
| 1043840770 | John Eckersley | Pharmacist | 1855 West Wendover Blvd, West Wendover, NV 89883 | 2020-01-22 |
| 1831503259 | Travis Keith Hardin | Physician Assistant | 925 Wells Ave, West Wendover, NV 89883 | 2014-06-13 |
| 1598067803 | Christy Gene Somsen | Physician Assistant | 925 Wells Ave, West Wendover, NV 89883 | 2010-11-19 |
| 1982888772 | Nevada Health Centers, Inc. | Pharmacy | 925 Wells Avenue, W. Wendover, NV 89883 | 2007-12-28 |
| 1033297304 | Nevada Health Centers Inc | Clinic/Center | 925 Wells Avenue, Box 3520, West Wendover, NV 89883 | 2006-11-02 |
| 1972500445 | Mountain West Inc | Ambulance | 427 Mesa, West Wendover, NV 89883-2530 | 2005-06-30 |
| Find all providers in zip 89883 | ||||
| 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 |
|---|---|---|---|---|
| 1679174528 | Next Step | Behavior Technician | 3000 High View Drive, #921, Henderson, NV 89014-3797 | 2020-11-06 |
| 1750982542 | Claudia Ayala | Behavior Technician | 3633 Lakeside Villas Ave, North Las Vegas, NV 89081-4051 | 2020-11-06 |
| 1194326058 | Funxional Solutions | Behavior Technician | 926 Dawn Valley Dr, North Las Vegas, NV 89031-6608 | 2020-11-05 |
| 1265033146 | Next Step | Behavior Technician | 3000 High View Dr Apt 611, Henderson, NV 89014-3796 | 2020-11-05 |
| 1417558503 | Ramona Toombs | Behavior Technician | 3070 S Nellis Blvd Apt 1158, Las Vegas, NV 89121-2059 | 2020-11-04 |
| 1821699448 | Adjoa Jacques | Behavior Technician | 6086 Denton Ranch Rd, Las Vegas, NV 89131-3127 | 2020-11-02 |
| 1497355119 | Johanna Stephenson | Behavior Technician | 7401 Royal Crystal St, Las Vegas, NV 89149-0168 | 2020-10-30 |
| 1063012094 | Monika Elizabeth Briones | Behavior Technician | 1922 Spode Ave, Henderson, NV 89014-3794 | 2020-10-28 |
| 1609476993 | Christopher Robert Harmon | Behavior Technician | 4050 Nancy St, Winnemucca, NV 89445-4012 | 2020-10-27 |
| 1376143602 | Debbie Adres Cera | Behavior Technician | 4803 Fuentes Way, Las Vegas, NV 89121-2811 | 2020-10-27 |
| 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.