BLAKE A. STEPHENSON (NPI# 1588040356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588040356 |
| Entity Type | Individual |
| Full Name | BLAKE A. STEPHENSON |
| Practice Address |
1030 5th Ave Se Cedar Rapids IA 52403-2464 |
| Mailing Address |
2309 C St Sw Cedar Rapids IA 52404-3707 |
| Practice Telephone | 3192864545 |
| Practice Fax Number | 3193683358 |
| Mailing Telephone | 3192864545 |
| Mailing Fax Number | 3193683358 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-16958 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1030 5TH AVE SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353870 | Health Solutions, Inc | Pharmacist | 1030 5th Ave Se, Suite 1800, Cedar Rapids, IA 52403-2464 | 2005-08-22 |
| 1669954418 | Molly Maxfield | Counselor | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2018-08-29 |
| 1851879860 | Kristin Cannon | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2018-08-01 |
| 1841778933 | Lanna Carroll Goodman | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403 | 2018-08-01 |
| 1003394016 | Daryl Byrd | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2018-08-01 |
| 1245718246 | Tonya Goodburn | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2018-08-01 |
| 1386122380 | Katherine Parker | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2018-08-01 |
| 1639657653 | Alexis Erger | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403 | 2018-08-01 |
| 1649785775 | Holly N Miller | Counselor | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2017-12-12 |
| 1528571445 | Michelle M. Yanecek | Social Worker | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2017-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415409 | Carissa Lynne Serbousek | Behavioral Analyst | 700 Bell Dr Sw, Cedar Rapids, IA 52404-7406 | 2020-07-30 |
| 1740602879 | Stacie Lane-o'brien | Behavioral Analyst | 8307 Spanish Rd, Cedar Rapids, IA 52404-9036 | 2014-01-08 |
| 1366776528 | Sandra Shapiro | Behavioral Analyst | 2675 Rainier Ct Ne, Cedar Rapids, IA 52402-3358 | 2009-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372185 | Kathleen Maureen Vantol | Behavioral Analyst | 548 6th St Nw, Sioux Center, IA 51250-1950 | 2020-10-07 |
| 1588261705 | Mobile Therapy Centers of Iowa LLC | Behavioral Analyst | 3520 Inverness Rd, Waterloo, IA 50701-4634 | 2020-10-01 |
| 1396352779 | Dordt University | Behavioral Analyst | 1124 7th Ave Ne, Sioux Center, IA 51250-2118 | 2020-09-29 |
| 1831716356 | Tina Ann Cobbs | Behavioral Analyst | 2610 Chicago Ave, Sioux City, IA 51106-1006 | 2020-06-30 |
| 1265056113 | Ashley M Andrew | Behavioral Analyst | 29295 I Ave, Adel, IA 50003-5539 | 2020-06-05 |
| 1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
| 1518515691 | Sue's Kids | Behavioral Analyst | 1806 Sycamore Ave, Atlantic, IA 50022-2828 | 2019-08-31 |
| 1114490992 | Behavior Associates of Iowa LLC | Behavioral Analyst | 2844 104th St, Urbandale, IA 50322-3813 | 2019-01-04 |
| 1205303641 | Sarah Marie Hawley | Behavioral Analyst | 138 1st Ave Se, Sioux Center, IA 51250-1521 | 2018-10-24 |
| 1922580489 | Exceptional Kids LLC | Behavioral Analyst | 1916 Brown Deer Rd, Coralville, IA 52241-1161 | 2018-08-31 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on BLAKE A. STEPHENSON.
| 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.