LOGAN AMANDA BRINK (NPI# 1427571991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427571991 |
| Entity Type | Individual |
| Full Name | LOGAN AMANDA BRINK |
| Practice Address |
5245 Santa Rosa Ave Sparks NV 89436-3654 |
| Practice Telephone | (775) 393-9249 |
| Mailing Telephone | 7753939249 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 82-0766847 | 05 |
| Street Address |
5245 SANTA ROSA AVE |
| City | SPARKS |
| State | NV |
| Zip Code | 89436-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903587 | Sage Collective Learning Consultants | Behavioral Analyst | 5245 Santa Rosa Ave, Sparks, NV 89436-3654 | 2017-07-01 |
| 1730689134 | Amy Selnick | Behavior Technician | 5245 Santa Rosa Ave, Sparks, NV 89436-3654 | 2018-02-13 |
| 1649779638 | Vanessa Koepsell | Behavior Technician | 5245 Santa Rosa Ave, Sparks, NV 89436 | 2018-02-06 |
| 1952800021 | Emalie Perkins | Behavioral Analyst | 5245 Santa Rosa Ave, Sparks, NV 89436-3654 | 2018-02-05 |
| 1205344363 | Amber Lianne Jones | Behavior Technician | 5245 Santa Rosa Ave, Sparks, NV 89436-3654 | 2018-01-11 |
| 1134635428 | Ariel Bray | Behavior Technician | 5245 Santa Rosa Ave, Sparks, NV 89436-3654 | 2017-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1487284485 | Stephanie Johnson | Assistant Behavior Analyst | 1641 Topeka Cir, Sparks, NV 89434-8866 | 2020-01-19 |
| 1497287163 | Zoila Henson | Assistant Behavior Analyst | 3756 Deutz Dr, Sparks, NV 89436-7151 | 2017-03-31 |
| 1922539147 | Balbine Mengu | Assistant Behavior Analyst | 2696 Bertini Ct, Sparks, NV 89434-2046 | 2017-03-21 |
| 1417316019 | Jessica Garcia | Assistant Behavior Analyst | 300 Los Altos Pkwy, Sparks, NV 89436-7755 | 2016-02-11 |
| 1427542406 | Northern Nevada Center for Behavioral Services | Assistant Behavior Analyst | 2411 Emblem St, Sparks, NV 89436-9171 | 2018-06-21 |
| 1467964908 | Camille Roxanne Davis | Assistant Behavior Analyst | 3258 Bunker Hill Ln, Sparks, NV 89431-1150 | 2017-10-24 |
| 1073039053 | Rosalie Abeng | Assistant Behavior Analyst | 2696 Bertini Ct, Sparks, NV 89434-2046 | 2017-08-21 |
| 1235661901 | Henson Family Services LLC | Assistant Behavior Analyst | 5275 Vista Blvd Ste A1, Sparks, NV 89436-0840 | 2017-03-31 |
| 1396276507 | Caritas Mental Health LLC | Assistant Behavior Analyst | 2696 Bertini Ct, Sparks, NV 89434-2046 | 2017-03-21 |
| 1659819787 | Samantha De La Cruz | Assistant Behavior Analyst | 2780 Sunny Slope Dr, Sparks, NV 89434-2679 | 2017-02-09 |
| Find all providers in SPARKS | ||||
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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.