PAUL BOETTCHER (NPI# 1457715260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457715260 |
| Entity Type | Individual |
| Full Name | PAUL BOETTCHER |
| Practice Address |
1111 S Main St Suite 210 Grapevine TX 76051-5577 |
| Mailing Address |
2000 Pinenut Dr Mesquite TX 75181-2900 |
| Practice Telephone | 2145635909 |
| Mailing Telephone | 6052904803 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2017-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-20633 | SD | Behavioral Health & Social Service Providers |
| Street Address |
1111 S MAIN ST SUITE 210 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487706941 | Kathleene Sweeney Stevenson | Counselor | 1111 S Main St, Suite 111, Grapevine, TX 76051-5577 | 2007-01-17 |
| 1366806523 | Unique Pathways | Community/Behavioral Health | 1111 S Main St, Suite 210, Grapevine, TX 76051-5577 | 2016-04-13 |
| 1376938613 | Todd Gjerdevig | Social Worker | 1111 S Main St, Suite 132, Grapevine, TX 76051-5577 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396212353 | Sheena Smith | Behavioral Analyst | 501 Turner Rd Apt 1314, Grapevine, TX 76051-7263 | 2018-10-29 |
| 1629462262 | Behavioral Beginnings | Behavioral Analyst | 3505 N Gravel Cir, Grapevine, TX 76092-3259 | 2015-03-21 |
| 1124330238 | Leah Marie Fennema | Behavioral Analyst | 2150 W Northwest Hwy, 114-1045, Grapevine, TX 76051-6989 | 2010-07-06 |
| 1730619388 | Elizabeth Anne Chatterton | Behavioral Analyst | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2017-06-15 |
| 1508009259 | Shana Leigh Wiggins | Behavioral Analyst | 303 W Nash St, Grapevine, TX 76051-5512 | 2009-04-10 |
| 1104068212 | Rebecca J Morgan | Behavioral Analyst | 303 W Nash St, Grapevine, TX 76051-5512 | 2009-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063188 | Victoria Renee Sanchez | Behavioral Analyst | 3201 Cherry Ridge Dr Ste 205, San Antonio, TX 78230-4835 | 2020-11-02 |
| 1235739285 | Emily Sanchez | Behavioral Analyst | 4084 S Regent Dr, Wichita Falls, TX 76308-1508 | 2020-10-29 |
| 1194325522 | Sridivya Pattisam | Behavioral Analyst | 1215 W Slaughter Ln Apt 534, Austin, TX 78748-6709 | 2020-10-26 |
| 1013516673 | Stephanie Carolina Lopez | Behavioral Analyst | 40 Cypress Creek Pkwy # 234, Houston, TX 77090-3530 | 2020-10-23 |
| 1184223737 | Radiant Autism Center, LLC | Behavioral Analyst | 2831 W Eldorado Pkwy Ste 106, Little Elm, TX 75068-3540 | 2020-10-23 |
| 1942809124 | Lacuna Autism Services LLC | Behavioral Analyst | 2923 Dason Ledge, San Antonio, TX 78258-4591 | 2020-10-20 |
| 1639777196 | Ninja Smith | Behavioral Analyst | 3801 Brandywine Dr Apt 216, Bedford, TX 76021-5261 | 2020-10-15 |
| 1609474337 | Samantha Katchy | Behavioral Analyst | 20751 Holly Rain Dr, Katy, TX 77449-1667 | 2020-10-14 |
| 1528666583 | Darcy Rose Davison | Behavioral Analyst | 3000 Moseley Rd, Crossroads, TX 76227-8025 | 2020-10-13 |
| 1407453749 | Southlake Hb Aba Services LLC | Behavioral Analyst | 940 S Kimball Ave Ste 175, Southlake, TX 76092-9024 | 2020-10-08 |
| 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.