ICIS BREANN POWELL (NPI# 1427549922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427549922 |
| Entity Type | Individual |
| Full Name | ICIS BREANN POWELL |
| Practice Address |
635 S Main St Ste B Leitchfield KY 42754-1056 |
| Practice Telephone | 2702870656 |
| Mailing Telephone | 2702870656 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | KY | Behavioral Health & Social Service Providers |
| Street Address |
635 S MAIN ST STE B |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427109024 | Amy Nicole Boswell | Behavioral Analyst | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2007-01-12 |
| 1609491653 | Jamie Mathis | Behavior Technician | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2020-06-15 |
| 1730703752 | Tyler Lee Mcgowen | Behavioral Analyst | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2020-06-05 |
| 1013537372 | Kayla Diane Kittinger | Speech-Language Pathologist | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2020-04-16 |
| 1467086702 | Cindy Caycedo | Behavior Technician | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2020-02-25 |
| 1780231324 | Sydni Brenn Chaffins-plush | Behavior Technician | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2019-08-19 |
| 1497302111 | Sherry Lynn Vincent | Behavior Technician | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2019-08-19 |
| 1912461104 | Devon Elizabeth Frank | Developmental Therapist | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2019-01-22 |
| 1083184410 | Kristi Suzanne Pence | Developmental Therapist | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2018-11-28 |
| 1558856427 | Darien Beatty | Occupational Therapy Assistant | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2018-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| Find all providers in zip 42754 | ||||
| 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 |
|---|---|---|---|---|
| 1821537952 | Randi Jean Stewart | Behavior Technician | 20 Hawks Lndg, Leitchfield, KY 42754-8238 | 2017-02-22 |
| 1609491653 | Jamie Mathis | Behavior Technician | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2020-06-15 |
| 1467086702 | Cindy Caycedo | Behavior Technician | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2020-02-25 |
| 1043841901 | Kia Whitney Hayes | Behavior Technician | 635 S Main St, Leitchfield, KY 42754-1056 | 2020-01-30 |
| 1780231324 | Sydni Brenn Chaffins-plush | Behavior Technician | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2019-08-19 |
| 1497302111 | Sherry Lynn Vincent | Behavior Technician | 635 S Main St Ste B, Leitchfield, KY 42754-1056 | 2019-08-19 |
| 1952953879 | Brandon Bishop | Behavior Technician | 635 S Main St, Leitchfield, KY 42754-1056 | 2019-07-11 |
| 1396307294 | Tara Lynn Eubank | Behavior Technician | 635 S Main St, Leitchfield, KY 42754-1056 | 2019-07-01 |
| 1518431568 | Brittany Leeann Langley | Behavior Technician | 5635 Brandenburg Rd, Leitchfield, KY 42754-7533 | 2019-01-13 |
| 1598245094 | Allyson D Jarboe | Behavior Technician | 635 S Main St, Leitchfield, KY 42754-1056 | 2018-08-15 |
| Find all providers in LEITCHFIELD | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
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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.