STEPHEN WALLACE (NPI# 1427668102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427668102 |
Entity Type | Individual |
Full Name | STEPHEN WALLACE |
Credential | RBT |
Practice Address |
403 N 4th St Leavenworth KS 66048-1966 |
Practice Telephone | 9132505509 |
Enumeration Date | 2020-08-06 |
Last Update Date | 2020-08-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-20-130807 | MO | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194220061 | Stephen Wallace | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, Upmc Presbyterian, South Tower 2nd Floor, Suite 200, Pittsburgh, PA 15213 | 2018-03-24 |
1457713778 | Stephen Edward Wallace | Family Medicine | 6525 So. 100th Street, Omaha, NE 68127 | 2016-03-25 |
1205020286 | Stephen Leon Wallace | Dentist | 225 Dunbar Cave Rd Ste B, Clarksville, TN 37043-8846 | 2007-08-31 |
1831304062 | Stephen Wylie Wallace | Dentist | 430 E. Lamar Blvd., Suite C, Arlington, TX 76011-3600 | 2007-05-11 |
1780781831 | Stephen Anthony Wallace | Dentist | 310 W Burlington Ave, La Grange, IL 60525-2363 | 2006-09-20 |
1437264330 | Stephen R. Wallace | Social Worker | 74 Dana St, Providence, RI 02906-2620 | 2006-08-20 |
1336131044 | Stephen A Wallace | Anesthesiology | 2741 S 8th Ave, Suite C, Yuma, AZ 85364-7154 | 2005-08-18 |
1104820174 | Stephen Curtis Wallace | Dentist | 2525 Delaney Rd, Wilmington, NC 28403-6003 | 2005-06-08 |
1053849802 | Stephen Paden Wallace | Physical Therapist | 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 | 2017-05-24 |
1205222502 | Stephen Blake Wallace | Orthopaedic Surgery | 3055 Roslyn St Unit 200, Denver, CO 80238-3324 | 2015-04-13 |
Street Address |
403 N 4TH ST |
City | LEAVENWORTH |
State | KS |
Zip Code | 66048-1966 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104148261 | Sylvia Ivonne Trevino-maack | Psychologist | 403 N 4th St, Leavenworth, KS 66048-1966 | 2010-02-17 |
1922625037 | Natalie B. Bradish | Behavioral Analyst | 403 N 4th St, Leavenworth, KS 66048-1966 | 2020-07-06 |
1700415270 | Christal A Simpson | Behavior Technician | 403 N 4th St, Leavenworth, KS 66048-1966 | 2020-04-06 |
1932766870 | Stefanie Roberts | Behavior Technician | 403 N 4th St, Leavenworth, KS 66048-1966 | 2019-05-28 |
1942709126 | Monarch Behavioral Supports, LLC | Behavior Technician | 403 N 4th St, Leavenworth, KS 66048-1966 | 2018-02-02 |
1033625322 | Kim M Delamore | Behavior Technician | 403 N 4th St, Leavenworth, KS 66048-1966 | 2017-12-21 |
1851807143 | Amanda Noble | Behavior Technician | 403 N 4th St, Leavenworth, KS 66048-1966 | 2017-12-21 |
1689180036 | Kelly Higby-gleue | Behavioral Analyst | 403 N 4th St, Leavenworth, KS 66048-1966 | 2017-12-21 |
1164938460 | Courtney Marie Trieb | Behavioral Analyst | 403 N 4th St, Leavenworth, KS 66048-1966 | 2017-12-21 |
1902312200 | Patricia Carter | Behavior Technician | 403 N 4th St, Leavenworth, KS 66048-1966 | 2017-12-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
Find all providers in zip 66048 |
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 |
---|---|---|---|---|
1215421789 | Matilian Cassmeyer | Behavior Technician | 4409 Parkway Dr, Leavenworth, KS 66048-5559 | 2018-06-19 |
1811488133 | Ginarae Elizabeth Hermanson | Behavior Technician | 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 | 2018-05-22 |
1194252007 | Celina Patrice Evans | Behavior Technician | 629 Pawnee St, Leavenworth, KS 66048-1447 | 2017-05-23 |
1013516863 | Anna Miller | Behavior Technician | 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 | 2020-10-22 |
1336748185 | Nicole Whitlow | Behavior Technician | 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 | 2020-10-22 |
1376142034 | Madison Dillon | Behavior Technician | 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 | 2020-10-22 |
1962000695 | James Jones | Behavior Technician | 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 | 2020-10-14 |
1639786684 | Samantha Aguilar | Behavior Technician | 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 | 2020-09-24 |
1942816269 | Kiley Barnes | Behavior Technician | 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 | 2020-09-22 |
1134734197 | Sara Nooner | Behavior Technician | 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 | 2020-09-15 |
Find all providers in LEAVENWORTH |
City | LEAVENWORTH |
Zip Code | 66048 |
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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.