KELLY THOMPSON (NPI# 1609489574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609489574 |
| Entity Type | Individual |
| Full Name | KELLY THOMPSON |
| Practice Address |
580 S Jefferson Ave Ste 101 Cookeville TN 38501-4672 |
| Mailing Address |
5475 Knoll Pl Highlands Ranch CO 80130-8044 |
| Practice Telephone | 8884232559 |
| Mailing Telephone | 8884232559 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326681479 | Kelly Thompson | Art Therapist | 534 E Green Bay Ave, Saukville, WI 53080-2012 | 2019-10-22 |
| 1083177034 | Kelly Marie Thompson | Occupational Therapist | 401 S Gallaher View Rd Apt 210, Knoxville, TN 37919-5334 | 2019-04-08 |
| 1164822722 | Kelly Ann Thompson | Dentist | 2700 E Bridge St Ste 101, Brighton, CO 80601-2561 | 2014-09-01 |
| 1700201829 | Kelly D Thompson | Physician Assistant | 2296 Opitz Blvd Ste 230, Woodbridge, VA 22191-3345 | 2014-02-26 |
| 1689849242 | Kelly J Thompson | Driver | 1473 South St, Fowler, IL 62338-2362 | 2008-04-24 |
| 1306022041 | Kelly Elizabeth Thompson | Occupational Therapist | Department of Physical and Occupational Therapy, Mail Stop 8045, Pocatello, ID 83209-0001 | 2008-01-11 |
| 1790960565 | Kelly Jo Thompson | Registered Nurse | 8653 Sweetwater Ct, Powell, OH 43065-8364 | 2007-12-29 |
| 1750588349 | Kelly Colleen Thompson | Registered Nurse | 14004 Silver Firs Dr, Everett, WA 98208-9305 | 2007-06-28 |
| 1992840417 | Kelly Lynn Thompson | Social Worker | 6007 Folsom Blvd # 200, Sacramento, CA 95819-4613 | 2007-02-21 |
| 1801968151 | Kelly Starr Thompson | Occupational Therapist | 1306 Westshore Dr, Houston, TX 77094-3315 | 2006-11-14 |
| Street Address |
580 S JEFFERSON AVE STE 101 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649780263 | Mary Whitney Warden | Behavioral Analyst | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2017-10-10 |
| 1437759552 | Gateway Autism Therapies and Education, Inc. | Clinic/Center | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-10-28 |
| 1730792607 | Amanda Allen | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-28 |
| 1346853223 | Sharonda Watkins | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-28 |
| 1477166353 | Crystal Richards | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-28 |
| 1225641103 | Joseph E. Collins | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-28 |
| 1396355277 | Chasity Hope Eskew | Behavioral Analyst | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-05 |
| 1295345171 | Amy Wuethrich | Behavioral Analyst | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-05 |
| 1043832447 | Marla Hale | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-05-08 |
| 1942853866 | Autumn Powell | Occupational Therapist | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2019-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1477154342 | Emily Reynolds | Behavior Technician | 75 E Veterans Dr Apt Q209, Cookeville, TN 38501-5248 | 2020-11-05 |
| 1760015192 | Chaidamoyo Goodson Dzenga | Behavior Technician | 1216 Carolina Ave Apt 3, Cookeville, TN 38501-6564 | 2020-02-13 |
| 1114575230 | Emily Ruth Varner | Behavior Technician | 249 Whitson Ave, Cookeville, TN 38501-3595 | 2019-09-02 |
| 1730792607 | Amanda Allen | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-28 |
| 1346853223 | Sharonda Watkins | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-28 |
| 1477166353 | Crystal Richards | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-28 |
| 1225641103 | Joseph E. Collins | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-08-28 |
| 1770109373 | Callie Annette Mccloud | Behavior Technician | 1680 S Jefferson Ave Ste G, Cookeville, TN 38506-2527 | 2020-06-19 |
| 1043832447 | Marla Hale | Behavior Technician | 580 S Jefferson Ave Ste 101, Cookeville, TN 38501-4672 | 2020-05-08 |
| 1629558002 | Brittany Danielle Rush | Behavior Technician | 1445 E 10th St, Cookeville, TN 38501-2017 | 2018-08-15 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on KELLY THOMPSON.
| 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.