MRS. KIRSTEN LYNNE MASRELIAN


Address: 2073 Lawrence Dr, De Pere, WI 54115
Phone: 9203513027

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 100049431 05

Office Location

Street Address 2073 LAWRENCE DR
City DE PERE
State WI
Zip Code 54115

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City DE PERE
Zip Code 54115

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Dataset Information

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.

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