TRACY JO AHRENHOLTZ (NPI# 1598265175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598265175 |
| Entity Type | Individual |
| Full Name | TRACY JO AHRENHOLTZ |
| Credential | RBT |
| Practice Address |
1011 Davis St Dubuque IA 52001-1306 |
| Practice Telephone | 5635567878 |
| Practice Fax Number | 5635561259 |
| Mailing Telephone | 5635567878 |
| Mailing Fax Number | 5635561259 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| 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 |
1011 DAVIS ST |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710958632 | Hills and Dales Child Development Center | Intermediate Care Facility, Mentally Retarded | 1011 Davis St, Dubuque, IA 52001-1306 | 2006-01-30 |
| 1508427584 | Reid Andrew Mettert | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2019-06-21 |
| 1538627302 | Katherine Lux | Social Worker | 1011 Davis St, Dubuque, IA 52001-1397 | 2019-03-11 |
| 1174003198 | Zachary Louis Mccollum | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-08-20 |
| 1821586942 | Catherine Marie Kremer | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-04-24 |
| 1003303876 | Lisa R Mccarthy | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1397 | 2018-04-17 |
| 1487157475 | Kendra Conforti | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-03-15 |
| 1326546136 | Hailey Bickford | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-01-26 |
| 1881192003 | Brooke Huttenlocher | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-01-23 |
| 1912405101 | Allison Marie Jordan | Behavioral Analyst | 1011 Davis St, Dubuque, IA 52001 | 2018-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| 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 |
|---|---|---|---|---|
| 1508427584 | Reid Andrew Mettert | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2019-06-21 |
| 1174003198 | Zachary Louis Mccollum | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-08-20 |
| 1821586942 | Catherine Marie Kremer | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-04-24 |
| 1003303876 | Lisa R Mccarthy | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1397 | 2018-04-17 |
| 1487157475 | Kendra Conforti | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-03-15 |
| 1326546136 | Hailey Bickford | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-01-26 |
| 1881192003 | Brooke Huttenlocher | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-01-23 |
| 1245738475 | Beverly Irene Hoppman | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-01-23 |
| 1326546441 | Kelly M Thimmesh | Behavior Technician | 1011 Davis St, Dubuque, IA 52001-1306 | 2018-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112371 | Hannah M Woods | Behavior Technician | 1555 Se Delaware Ave Ste 0, Ankeny, IA 50021-4011 | 2020-10-19 |
| 1710594601 | Dylan Bishop | Behavior Technician | 1315 S Bell Ave, Ames, IA 50010-7730 | 2020-09-25 |
| 1194332239 | Mwale Kapande | Behavior Technician | 7601 Office Plaza Dr N # 105, West Des Moines, IA 50266-2338 | 2020-09-23 |
| 1740896620 | Sarah Mork | Behavior Technician | 4912 Walker Cir, Johnston, IA 50131-2535 | 2020-09-16 |
| 1053932764 | Elisa C Gonzales | Behavior Technician | 527 E College St Apt 7, Iowa City, IA 52240-5121 | 2020-05-04 |
| 1407494032 | Ashley Ann Miller | Behavior Technician | 4129 E Douglas Ave, Des Moines, IA 50317-8115 | 2019-12-13 |
| 1467096230 | Renu Suddapalli | Behavior Technician | 1315 S Bell Ave Ste 108, Ames, IA 50010-7730 | 2019-11-04 |
| 1831732692 | Heather Besch | Behavior Technician | 6923 Northview Dr, Urbandale, IA 50322-8037 | 2019-10-24 |
| 1033674965 | Kelsie Thurman | Behavior Technician | 3368 E Kimberly Rd Apt 239, Davenport, IA 52807-2563 | 2019-02-05 |
| 1457826893 | Lisa Murphy | Behavior Technician | 1500 Plaza Pl Ste 10, Muscatine, IA 52761-5315 | 2018-10-12 |
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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.