TRACY TALLENT (NPI# 1619478575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619478575 |
| Entity Type | Individual |
| Full Name | TRACY TALLENT |
| Practice Address |
538 S Gilbert Rd Ste 101-103 Gilbert AZ 85296-2268 |
| Practice Telephone | 4804825005 |
| Practice Fax Number | 4803762311 |
| Mailing Telephone | 4804825005 |
| Mailing Fax Number | 4803762311 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| 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 |
538 S GILBERT RD STE 101-103 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780182923 | Kristie Maclyman | Behavior Technician | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2018-01-23 |
| 1164078770 | Samantha Ann-brunhilde Macneil | Behavior Technician | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2019-08-11 |
| 1346896933 | Amanda Hubbard | Behavioral Analyst | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2019-08-10 |
| 1831759448 | Kerizma Keilan Brooks | Behavior Technician | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2019-06-17 |
| 1508323718 | Benegregg Jose Vargas | Behavior Technician | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2019-02-24 |
| 1508331430 | Roy Oscar Thorp | Behavioral Analyst | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2018-10-07 |
| 1679055651 | Madison James | Behavior Technician | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2018-09-05 |
| 1356822779 | Kathryn Pearsall | Behavior Technician | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2018-08-23 |
| 1205322674 | Emilia Boer | Behavioral Analyst | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2018-07-09 |
| 1124514955 | Makayla Angelic Barnes | Behavioral Analyst | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2018-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| 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 |
|---|---|---|---|---|
| 1659902914 | Alyssa Nicole Scott | Behavior Technician | 5656 S Power Rd Ste 121, Gilbert, AZ 85295-8489 | 2020-01-27 |
| 1154983609 | Hopebridge LLC | Behavior Technician | 2288 W Guadalupe Rd, Gilbert, AZ 85233-2806 | 2019-07-05 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1306327655 | Irena Evans | Behavior Technician | 2794 S Anderson Ln, Gilbert, AZ 85295-3638 | 2018-08-24 |
| 1780175414 | Taylyn Livermon-haynes | Behavior Technician | 1166 S Gilbert Rd Suite 106, Gilbert, AZ 85296 | 2018-05-29 |
| 1023509585 | Katherine Rasmussen | Behavior Technician | 745 N Gilbert Rd Ste 116, Gilbert, AZ 85234-4652 | 2018-05-21 |
| 1902397326 | Shelby Lynn Rouse | Behavior Technician | 1166 S Gilbert Rd Ste 106, Gilbert, AZ 85296-3461 | 2018-05-21 |
| 1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
| 1316446719 | Raeann Flanagan | Behavior Technician | 538 S Gilbert Rd Ste 101, Gilbert, AZ 85296-2270 | 2018-02-12 |
| Find all providers in GILBERT | ||||
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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.