BRAYDEN GRUENEWALD (NPI# 1508478678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508478678 |
| Entity Type | Individual |
| Full Name | BRAYDEN GRUENEWALD |
| Practice Address |
2425 E Southlake Blvd Southlake TX 76092-6674 |
| Practice Telephone | 8174420222 |
| Mailing Telephone | 8174420222 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 20131500 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2425 E SOUTHLAKE BLVD |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902075088 | Monica J Johnson | Occupational Therapist | 2425 E Southlake Blvd, Pedia Plex Suite 100, Southlake, TX 76092-6674 | 2008-02-22 |
| 1003428178 | Chloe Vongphachanh | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-08-20 |
| 1174135248 | Erick Quintero | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-08-20 |
| 1942818521 | Destiny Hicks | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-07-20 |
| 1265050157 | Amanda Siple | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-07-08 |
| 1043838931 | Bouagnan Johann Pitah | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-07-08 |
| 1265057020 | Karla Villagran | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-06-08 |
| 1104441971 | Halle Williams | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-06-08 |
| 1346865102 | Javiera Campos | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-06-08 |
| 1992328538 | Emily Tucker | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
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| 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 |
|---|---|---|---|---|
| 1003428178 | Chloe Vongphachanh | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-08-20 |
| 1174135248 | Erick Quintero | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-08-20 |
| 1972114155 | Milan Kountz | Behavior Technician | 2104 Greenbriar Dr, Southlake, TX 76092-8355 | 2020-08-12 |
| 1811507890 | Mia Jacole Jennings | Behavior Technician | 2104 Greenbriar Dr, Southlake, TX 76092-8355 | 2020-08-05 |
| 1962012039 | Amber Mansaray | Behavior Technician | 2104 Greenbriar Dr, Southlake, TX 76092-8355 | 2020-08-04 |
| 1942818521 | Destiny Hicks | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-07-20 |
| 1316565898 | Katarina Victoria Mckinney | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2020-07-10 |
| 1265050157 | Amanda Siple | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-07-08 |
| 1043838931 | Bouagnan Johann Pitah | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-07-08 |
| 1801411129 | Camille Michelle Carwell | Behavior Technician | 2104 Greenbriar Dr, Southlake, TX 76092-8355 | 2020-06-12 |
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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.