MS. MCKENZIE GIBBS (NPI# 1528675055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528675055 |
| Entity Type | Individual |
| Full Name | MS. MCKENZIE GIBBS |
| Practice Address |
1704 W Industrial Dr Ste C Rogers AR 72756-2497 |
| Practice Telephone | 4794396906 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| 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 |
| Street Address |
1704 W INDUSTRIAL DR STE C |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032328 | Alena Sara Kiki | Behavioral Analyst | 1704 W Industrial Dr Ste C, Rogers, AR 72756-2497 | 2016-09-23 |
| 1497361869 | David Brian Wilson II | Behavior Technician | 1704 W Industrial Dr Ste C, Rogers, AR 72756-2497 | 2020-09-21 |
| 1700497005 | Taylor Neil | Behavior Technician | 1704 W Industrial Dr Ste C, Rogers, AR 72756-2497 | 2020-08-11 |
| 1992325666 | Bailey Catherine Dorch | Behavior Technician | 1704 W Industrial Dr Ste C, Rogers, AR 72756-2497 | 2020-04-22 |
| 1740813609 | Juliana Vazquez- Solis | Behavior Technician | 1704 W Industrial Dr Ste C, Rogers, AR 72756-2497 | 2020-02-19 |
| 1598398588 | Sarah Marie Holland | Behavior Technician | 1704 W Industrial Dr Ste C, Rogers, AR 72756-2497 | 2020-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| 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 |
|---|---|---|---|---|
| 1225564891 | Kayann Foster | Behavior Technician | 1704 W Industrial Dr, Rogers, AR 72756-2492 | 2017-05-02 |
| 1801494497 | Martina Platte | Behavior Technician | 1704 W Industrial Dr, Rogers, AR 72756-2492 | 2020-10-15 |
| 1124625538 | Ashley Leanne Withrow | Behavior Technician | 1704 W Industrial Dr, Rogers, AR 72756-2492 | 2020-10-08 |
| 1588261952 | Laura Michelle Ramirez | Behavior Technician | 1704 W Industrial Dr, Rogers, AR 72756-2492 | 2020-10-07 |
| 1538776257 | Maxwell Greenway | Behavior Technician | 1704 W Industrial Dr, Rogers, AR 72756-2492 | 2020-09-27 |
| 1497361869 | David Brian Wilson II | Behavior Technician | 1704 W Industrial Dr Ste C, Rogers, AR 72756-2497 | 2020-09-21 |
| 1316552656 | Leah Ashley Armstrong | Behavior Technician | 14000 Northdale Blvd Ste A, Rogers, MN 55374-4663 | 2020-09-14 |
| 1811502495 | Kristen M Stewart | Behavior Technician | 1704 W Industrial Dr, Rogers, AR 72756-2492 | 2020-09-10 |
| 1356955322 | Erica Ouellette | Behavior Technician | 1704 W Industrial Dr, Rogers, AR 72756-2492 | 2020-09-07 |
| 1104439967 | Aelwyn Hearn | Behavior Technician | 1704 W Industrial Dr, Rogers, AR 72756-2492 | 2020-08-30 |
| Find all providers in ROGERS | ||||
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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.