ANGELA CATHERINE DEVORE (NPI# 1457964637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457964637 |
| Entity Type | Individual |
| Full Name | ANGELA CATHERINE DEVORE |
| Practice Address |
108 Doctors Park Saint Cloud MN 56303-1207 |
| Practice Telephone | 3207743915 |
| Mailing Telephone | 3207743915 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| 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 |
|---|---|---|
| 205 14th Ave E, Sartell, MN 563774500 | 3207743436 | 3207743440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538657812 | Angela Dawn Devore | Pharmacist | 401 W North St, Springfield, OH 45504-2607 | 2018-04-23 |
| 1336338482 | Angela Marie Devore | Occupational Therapy Assistant | 3825 Countryside Blvd N, Palm Harbor, FL 34684-4928 | 2007-10-15 |
| Street Address |
108 DOCTORS PARK |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290502 | Cynthia Ann Fussy | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-09-17 |
| 1386250132 | Lily Faith Chamerski | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-09-17 |
| 1801402649 | Kailee Rae Young | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-09-17 |
| 1447865241 | Codi Afton Mogensen | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-09-09 |
| 1265045447 | Meghan Lyn Minor | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-08-26 |
| 1235748997 | Kelly Lynn O'brien | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-07-29 |
| 1033736350 | Kylie Jean Johnson | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-07-02 |
| 1295352516 | Mary Jo Renee Vetsch | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-07-02 |
| 1619593571 | Robert Dean Sauter | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-06-17 |
| 1154947026 | Patrick Michael Grant | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| 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 |
|---|---|---|---|---|
| 1861016503 | Fabiola Nicole De Jesus Ruiz | Behavior Technician | 3613 Moca Dr, Saint Cloud, FL 34772-8147 | 2020-05-28 |
| 1669003943 | Laura Phelps | Behavior Technician | 438 Connecticut Ave, Saint Cloud, FL 34769-2731 | 2020-01-27 |
| 1063073666 | Patricia Mary Krug | Behavior Technician | 5204 Hammock Circe, Saint Cloud, FL 34771 | 2019-06-25 |
| 1902365380 | Ariel Laabs | Behavior Technician | 3721 23rd St S # 201, Saint Cloud, MN 56301-6198 | 2019-03-15 |
| 1760950216 | Sergio Gabriel Aponte | Behavior Technician | 5251 Mill Stream Dr, Saint Cloud, FL 34771-8711 | 2018-11-02 |
| 1558845057 | Colby Perry | Behavior Technician | 1108 Virginia Ave, Saint Cloud, FL 34769-3841 | 2018-09-20 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1790297539 | Yamiris Galban Mendoza | Behavior Technician | 4019 Nolte Rd Apt 1, Saint Cloud, FL 34772-7185 | 2017-11-02 |
| 1770023111 | Rocio Contreras | Behavior Technician | 3524 Saxony Ln, Saint Cloud, FL 34772-8600 | 2017-03-05 |
| 1881143246 | Jd Home Health Care | Behavior Technician | 4896 52nd St Se, Saint Cloud, MN 56304-9520 | 2016-09-27 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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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.