KENNETH LONG (NPI# 1467949974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467949974 |
| Entity Type | Individual |
| Full Name | KENNETH LONG |
| Practice Address |
630 Southpointe Ct Ste 105 Colorado Springs CO 80906-3800 |
| Mailing Address |
11890 Rio Secco Rd Peyton CO 80831-4028 |
| Practice Telephone | 7195385600 |
| Practice Fax Number | 8777993225 |
| Mailing Telephone | 7197280418 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598997207 | Kenneth Alan Long | Interpreter | 16817 223rd Ave E, Orting, WA 98360-9120 | 2009-08-13 |
| 1982605911 | Kenneth D Long | Physician Assistant | 1251 Ne Elm St, Prineville, OR 97754 | 2005-08-01 |
| 1952936163 | Kenneth Long | Student in an Organized Health Care Education/Training Program | 611 W Park St, Urbana, IL 61801-2529 | 2020-03-08 |
| 1255715660 | Kenneth Long | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-07-15 |
| 1730462219 | Kenneth G Long | Pharmacist | 1050 N Kennedy Dr, Kankakee, IL 60901-2033 | 2011-09-21 |
| 1346535390 | Kenneth Michael Long | Family Medicine | 2750 Gause Blvd E, Slidell, LA 70461 | 2011-06-17 |
| 1720287253 | Kenneth Lamar Long | Psychologist | 1254 Ocala Rd, Tallahassee, FL 32304-1548 | 2007-07-14 |
| 1831215656 | Kenneth Long | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-03-22 |
| 1932125846 | Kenneth Lee Long | Internal Medicine | 1305 Wonder World Drive, Ste 301, San Marcos, TX 78666 | 2006-07-14 |
| 1114971991 | Kenneth W Long | Family Medicine | 1395 El Rito Dr, Gulf Breeze, FL 32563-6707 | 2006-05-19 |
| Street Address |
630 SOUTHPOINTE CT STE 105 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275875 | Ethan Daniel Kingery | Behavior Technician | 630 Southpointe Ct Ste 105, Colorado Springs, CO 80906-3800 | 2018-02-14 |
| 1457815888 | Kaitlin Soos | Massage Therapist | 630 Southpointe Ct Ste 105, Colorado Springs, CO 80906-3800 | 2019-01-30 |
| 1912495508 | Shannon Virginia Harding | Behavior Technician | 630 Southpointe Ct Ste 105, Colorado Springs, CO 80906-3800 | 2018-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| 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 |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1821610734 | Kyndal Elizabeth Strossner | Behavior Technician | 1203 Lawn Lake Trl, Colorado Springs, CO 80921-3672 | 2020-05-13 |
| 1750903944 | Lakyn Rae Arthur | Behavior Technician | 1915 Aerotech Dr, Colorado Springs, CO 80916-4219 | 2020-05-11 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1336778885 | Hannah Besse | Behavior Technician | 2207 W Bijou St, Colorado Springs, CO 80904-3443 | 2020-04-06 |
| 1417581844 | Elijah Abendroth | Behavior Technician | 1915 Aerotech Dr Ste 180, Colorado Springs, CO 80916-4213 | 2020-02-25 |
| 1629608898 | Victoria Joy Jenkins | Behavior Technician | 2515 Oak Hills Dr, Colorado Springs, CO 80919-3480 | 2020-01-16 |
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1942843008 | Erika Barse | Behavior Technician | 7011 Campus Dr Apt 447, Colorado Springs, CO 80920-3162 | 2019-10-22 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.