CHASE JOHNSON CARLSON (NPI# 1558968370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558968370 |
| Entity Type | Individual |
| Full Name | CHASE JOHNSON CARLSON |
| Practice Address |
3333 University Ave Se Minneapolis MN 55414-3325 |
| Practice Telephone | 6123319413 |
| Mailing Telephone | 6123319413 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MN | Behavioral Health & Social Service Providers |
| Street Address |
3333 UNIVERSITY AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952376246 | Karin Lou Hampton | Psychologist | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2006-02-21 |
| 1669073110 | Emma Kershaw | Assistant Behavior Analyst | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-11-02 |
| 1972103430 | Madison Sommer | Behavior Technician | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-10-26 |
| 1083214548 | Tess Erickson | Behavioral Analyst | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-10-26 |
| 1841899366 | Amanda Elizabeth Berg | Social Worker | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-10-26 |
| 1609475987 | Abbigale Jacobson | Behavior Technician | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-10-19 |
| 1427657709 | Nadine Russ Keefe | Behavior Technician | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-10-19 |
| 1063010759 | Taryn Stevenson | Speech-Language Pathologist | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-10-14 |
| 1477160091 | Caroline Elizabeth Kerwin | Behavior Technician | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-09-28 |
| 1730796368 | Claire Frances Holmes | Behavior Technician | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| 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 |
|---|---|---|---|---|
| 1073114393 | Fathi Shakul | Behavior Technician | 5118 Irving Ave N, Minneapolis, MN 55430-3440 | 2020-11-03 |
| 1043810344 | Sucdi Ahmed Dahir | Behavior Technician | 3951 Dupont Ave N, Minneapolis, MN 55412-2036 | 2020-10-27 |
| 1962002352 | Jama Abdi | Behavior Technician | 4630 Central Ave Ne Apt 102, Minneapolis, MN 55421-2483 | 2020-10-27 |
| 1427656362 | Warda Odhowa | Behavior Technician | 2552 5th St Ne, Minneapolis, MN 55418-2837 | 2020-10-13 |
| 1144833187 | Autumn Borgen | Behavior Technician | 7760 France Ave S Fl 11, Minneapolis, MN 55435-5930 | 2020-08-28 |
| 1376151977 | Kwst Targeted Behavioral Development Group | Behavior Technician | 333 Washington Ave N Ste 332, Minneapolis, MN 55401-1366 | 2020-07-20 |
| 1093330227 | Kristie Young Vang | Behavior Technician | 5144 Emerson Ave N, Minneapolis, MN 55430-3415 | 2020-06-12 |
| 1417582644 | Najma Ibrahim | Behavior Technician | 2614 Nicollet Ave # 209, Minneapolis, MN 55408-1628 | 2020-03-09 |
| 1548890379 | Ayodele Regina Douglas | Behavior Technician | 2800 Freeway Blvd Ste 204, Minneapolis, MN 55430-1751 | 2020-01-21 |
| 1568009694 | Asha Farhan Hassan | Behavior Technician | 2614 Nicollet Ave Ste 209, Minneapolis, MN 55408-1628 | 2019-12-09 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
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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.