BROOKE MARTENS (NPI# 1417572512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417572512 |
| Entity Type | Individual |
| Full Name | BROOKE MARTENS |
| Practice Address |
1314 N Hiawatha Ave Pipestone MN 56164-2282 |
| Practice Telephone | 5078255858 |
| Mailing Telephone | 5078255858 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2419 Washington Ave, Montevideo, MN 562652619 | 5073394933 | |
| 320 Saturn St N Ste A, Cosmos, MN 562289757 | 3208777074 |
| Street Address |
1314 N HIAWATHA AVE |
| City | PIPESTONE |
| State | MN |
| Zip Code | 56164-2282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992201206 | Hayley Hansen | Behavioral Analyst | 1314 N Hiawatha Ave, Pipestone, MN 56164-2282 | 2018-04-04 |
| 1740889310 | Morgan Guardado | Behavioral Analyst | 1314 N Hiawatha Ave, Pipestone, MN 56164-2282 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336408798 | Roberta Marlene Stangeland | Registered Nurse | 609 1/2 2nd St Sw, Pipestone, MN 56164 | 2012-05-04 |
| 1144399981 | William Howard Olson | Dentist | 101 2nd St Se, Pipestone, MN 56164 | 2006-11-07 |
| 1174604607 | Cmsp Inc | Pharmacy | 802 8th Ave Se, Pipestone, MN 56164 | 2006-10-18 |
| 1568565802 | James Horgan | Psychologist | 1016 8th Ave Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1871696112 | Jarolyn Johnson | Marriage & Family Therapist | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1609837350 | Michael E Tadlock | Nurse Anesthetist, Certified Registered | 916 4th Ave. Sw, Pipestone, MN 56164 | 2006-03-31 |
| 1275636540 | Morris Patzlaff | Social Worker | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1093818379 | Rebecca Wiersma | Social Worker | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1669763611 | Amy Goering Fry | Marriage & Family Therapist | 1016 8th Ave Sw # 85, Pipestone, MN 56164-1018 | 2011-04-26 |
| 1104399633 | Ashley Whipkey | Social Worker | 1016 8th Ave Sw, Pipestone, MN 56164-1018 | 2019-01-08 |
| Find all providers in zip 56164 | ||||
| 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 |
|---|---|---|---|---|
| 1073114393 | Fathi Shakul | Behavior Technician | 5118 Irving Ave N, Minneapolis, MN 55430-3440 | 2020-11-03 |
| 1972103224 | Bobbi Nielsen | Behavior Technician | 33854 630th Ave, Sargeant, MN 55973-8539 | 2020-10-27 |
| 1043810344 | Sucdi Ahmed Dahir | Behavior Technician | 3951 Dupont Ave N, Minneapolis, MN 55412-2036 | 2020-10-27 |
| 1922608314 | Farhiyo Sharmake | Behavior Technician | 8062 Jensen Ave S, Cottage Grove, MN 55016-3438 | 2020-10-27 |
| 1962002352 | Jama Abdi | Behavior Technician | 4630 Central Ave Ne Apt 102, Minneapolis, MN 55421-2483 | 2020-10-27 |
| 1245830702 | Rebecca Rose Thompson | Behavior Technician | 1041 9th Ave S Apt 8, South Saint Paul, MN 55075-3108 | 2020-10-26 |
| 1700484367 | Cassandra Marie Terch | Behavior Technician | 19437 Evans St Nw, Elk River, MN 55330-1074 | 2020-10-15 |
| 1629676424 | Archy Olson | Behavior Technician | 2 Shoreline Pl, Spring Park, MN 55384-9644 | 2020-10-14 |
| 1427656362 | Warda Odhowa | Behavior Technician | 2552 5th St Ne, Minneapolis, MN 55418-2837 | 2020-10-13 |
| 1679171516 | Muna Shire | Behavior Technician | 9133 Knox Ave S, Bloomington, MN 55431-2213 | 2020-10-13 |
| 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.