MRS. KIRSTEN LYNNE MASRELIAN (NPI# 1518473966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518473966 |
Entity Type | Individual |
Full Name | MRS. KIRSTEN LYNNE MASRELIAN |
Other Name | KIRSTEN LYNNE CONRAD |
Credential | BCBA |
Practice Address |
2073 Lawrence Dr De Pere WI 54115 |
Mailing Address |
2073 Lawrence Dr De Pere WI 54115-9106 |
Practice Telephone | 9203513027 |
Practice Fax Number | 9203513043 |
Mailing Telephone | 9203513027 |
Mailing Fax Number | 9203513043 |
Enumeration Date | 2017-12-21 |
Last Update Date | 2018-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100049431 | 05 |
Street Address |
2073 LAWRENCE DR |
City | DE PERE |
State | WI |
Zip Code | 54115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225641301 | Karly Woldt | Behavior Technician | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2020-08-28 |
1578194148 | Jenna Ryczek | Assistant Behavior Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2020-01-31 |
1699310862 | Christy Jahns | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-11-12 |
1831745280 | Brooke R Evers | Behavior Technician | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-08-12 |
1154975951 | David Joslin-pleshek | Behavior Technician | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-07-30 |
1588217244 | Courtney Langer | Behavior Technician | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-07-22 |
1598225518 | Carissa Vanasten | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-03-25 |
1649759705 | Milestones Behavioral Pediatrics Inc | Community/Behavioral Health | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2018-08-09 |
1649774399 | Emily Bow | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2018-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
1356708481 | Ginger Dempsky | Massage Therapist | 1000 North Broadway Street, Depere, WI 54115 | 2016-01-20 |
Find all providers in zip 54115 |
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 |
---|---|---|---|---|
1235638198 | Sarah J Miller | Behavioral Analyst | 327 Main Ave Ste G, De Pere, WI 54115-2202 | 2018-02-06 |
1194163899 | Kerry Michelle Hoops | Behavioral Analyst | 1141 W Main Ave, Suite #201, De Pere, WI 54115-9345 | 2013-06-05 |
1699310862 | Christy Jahns | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-11-12 |
1497319743 | Nicole A Stotzheim | Behavioral Analyst | 1141 W Main Ave Ste 201, De Pere, WI 54115-1695 | 2019-04-23 |
1346803814 | Karen J Konop | Behavioral Analyst | 1141 W Main Ave Ste 201, De Pere, WI 54115-1695 | 2019-04-19 |
1598225518 | Carissa Vanasten | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2019-03-25 |
1538664107 | Alicia Dillman | Behavioral Analyst | 327 Main Ave Ste G, De Pere, WI 54115-2202 | 2018-03-27 |
1649774399 | Emily Bow | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115-9106 | 2018-03-19 |
1134660616 | Sarah Nino | Behavioral Analyst | 327 Main Ave, Suite G, De Pere, WI 54115-2202 | 2017-03-16 |
1487195970 | Ellen Neumann | Behavioral Analyst | 327 Main Ave, Suite G, De Pere, WI 54115-2202 | 2017-03-16 |
Find all providers in DE PERE |
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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.