MR. LOGAN PATRICK SPIDDLE (NPI# 1538650791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538650791 |
| Entity Type | Individual |
| Full Name | MR. LOGAN PATRICK SPIDDLE |
| Practice Address |
1100 Circle Dr Fort Worth TX 76119-8111 |
| Practice Telephone | 8175661100 |
| Mailing Telephone | 8175661100 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-31803 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1100 CIRCLE DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831414580 | Rw Boss Health Masters Homecare Inc | Home Health | 1100 Circle Dr, Suite 200, Fort Worth, TX 76119-8111 | 2010-04-06 |
| 1235625526 | Martha Beatrice Matthews | Behavior Technician | 1100 Circle Dr, Fort Worth, TX 76119-8111 | 2018-07-10 |
| 1528559770 | Leah Marie Waldron | Behavior Technician | 1100 Circle Dr, Fort Worth, TX 76119-8111 | 2018-05-23 |
| 1518458769 | Luz Aurora Seboek | Behavior Technician | 1100 Circle Dr, Fort Worth, TX 76119-8111 | 2018-05-23 |
| 1578054722 | Daisy Favela | Behavioral Analyst | 1100 Circle Dr, Fort Worth, TX 76119-8111 | 2018-05-23 |
| 1326485640 | Veronica Kay Macias | Speech-Language Pathologist | 1100 Circle Dr, Suite 101, Fort Worth, TX 76119-8111 | 2013-05-28 |
| 1801231063 | Laura Elizabeth Golden | Occupational Therapist | 1100 Circle Dr, Suite 101, Fort Worth, TX 76119-8111 | 2013-05-01 |
| 1932455284 | Autistic Treatment Center Inc | Clinic/Center | 1100 Circle Dr, Ste. 101, Fort Worth, TX 76119-8111 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| 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 |
|---|---|---|---|---|
| 1316544547 | Olivia Shinall | Behavior Technician | 3036 Briery Dr, Fort Worth, TX 76119-1571 | 2020-10-01 |
| 1043823271 | Mink Sandhu | Behavior Technician | 4233 Silverwood Trl, Fort Worth, TX 76244-4959 | 2020-08-27 |
| 1053946830 | Jasmine Waheed | Behavior Technician | 2425 Half Moon Bay Ln, Fort Worth, TX 76177-3015 | 2020-03-11 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1760043319 | Kailey Davis | Behavior Technician | 1100 Circle Dr Ste 101, Fort Worth, TX 76119-8111 | 2019-06-25 |
| 1053876482 | Hannah Burgos | Behavior Technician | 4537 Heritage Trace Pkwy Bldg 11a, Fort Worth, TX 76244-8921 | 2019-02-11 |
| 1538633581 | Adesuwa Phyllis Imade | Behavior Technician | 1751 River Run # 200, Fort Worth, TX 76107-6644 | 2019-01-13 |
| 1588185359 | Tamatha Weckwerth | Behavior Technician | 6133 Redear Dr, Fort Worth, TX 76179-7587 | 2017-07-03 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on MR. LOGAN PATRICK SPIDDLE.
| 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.