MADDISON NICOLE COLLINGS (NPI# 1528693314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528693314 |
| Entity Type | Individual |
| Full Name | MADDISON NICOLE COLLINGS |
| Practice Address |
940 Nw Garden Valley Blvd Ste 104 Roseburg OR 97471-2098 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5413784104 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | OR | Behavioral Health & Social Service Providers |
| Street Address |
940 NW GARDEN VALLEY BLVD STE 104 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073174553 | Laurina Parry Lacey | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-06-25 |
| 1356972350 | Rhiannon Marie Keen | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2020-01-28 |
| 1306481098 | Hunter Aaron Creech | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-11-17 |
| 1871138883 | Tyler Kathleen Minnis | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-11-13 |
| 1184266702 | Ashley A Leisner-pacini | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-10-15 |
| 1578105292 | Bre Anna Marie Mckamey | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-10-14 |
| 1720620495 | Tyler Lee Cleveland | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-10-14 |
| 1730739012 | Taylor Hamilton | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-09-18 |
| 1225683188 | Kayla M Morton | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-08-07 |
| 1750933347 | Daricca Michele Kelly | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| 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 |
|---|---|---|---|---|
| 1356972350 | Rhiannon Marie Keen | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2020-01-28 |
| 1306481098 | Hunter Aaron Creech | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-11-17 |
| 1184266702 | Ashley A Leisner-pacini | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-10-15 |
| 1578105292 | Bre Anna Marie Mckamey | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-10-14 |
| 1720620495 | Tyler Lee Cleveland | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-10-14 |
| 1730739012 | Taylor Hamilton | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-09-18 |
| 1225683188 | Kayla M Morton | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-08-07 |
| 1760043368 | Maci Brock | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-06-25 |
| 1801356050 | Samantha Marie Foster-pratt | Behavior Technician | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2019-03-22 |
| 1114495066 | Conner Tabor | Behavior Technician | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2018-11-08 |
| Find all providers in ROSEBURG | ||||
Please comment or provide details below to improve the information on MADDISON NICOLE COLLINGS.
| 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.