LAURIN ETTEL (NPI# 1639790793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639790793 |
| Entity Type | Individual |
| Full Name | LAURIN ETTEL |
| Credential | BCBA |
| Practice Address |
3403b Garden Villa Ln Austin TX 78704-6915 |
| Mailing Address |
7108 S Kanner Hwy Stuart FL 34997-7462 |
| Practice Telephone | 8558326727 |
| Mailing Telephone | 8558326727 |
| Mailing Fax Number | 7726759100 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-39708 | TX | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2675 Crazyhorse Pass, Austin, TX 787342864 | 5122005478 | |
| 3403b Garden Villa Ln, Austin, TX 787046915 | 8558326727 | 7726759100 |
| Street Address |
3403B GARDEN VILLA LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265698773 | Kelle Nicole Barron | Behavioral Analyst | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2008-08-04 |
| 1225645047 | Carly Grace Sponseller | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-09-25 |
| 1083228704 | Dale Patrick Baker | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-09-01 |
| 1710590526 | Rebecca Broussard | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-31 |
| 1346853280 | Nicholas Edward Jessup | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-29 |
| 1740893668 | Melynda Raena Ambriz | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-29 |
| 1326658048 | Erica Lee Maddox | Behavior Technician | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-06 |
| 1437772654 | Ashley Revels | Behavioral Analyst | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-05-21 |
| 1821629676 | Camila Isabel Gomez | Behavior Technician | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-01-30 |
| 1427696541 | Yuanchen Kuo | Behavior Technician | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| 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 |
|---|---|---|---|---|
| 1194325522 | Sridivya Pattisam | Behavioral Analyst | 1215 W Slaughter Ln Apt 534, Austin, TX 78748-6709 | 2020-10-26 |
| 1942817200 | Songbird Health Tx LLC | Behavioral Analyst | 1401 Lavaca St, Austin, TX 78701-1634 | 2020-09-29 |
| 1962020099 | Mayra Cristina Barreda | Behavioral Analyst | 2000 Cedar Bend Dr Apt 1134, Austin, TX 78758-5351 | 2020-07-06 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1326677212 | Tx Mc Sprout 1 LLC | Behavioral Analyst | 5323 Levander Loop, Austin, TX 78702-5146 | 2020-04-03 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1417580648 | Ashley K Bloodworth | Behavioral Analyst | 2100 Kramer Ln Ste 300, Austin, TX 78758-4094 | 2020-02-17 |
| 1376173013 | Haley Erin Van Klompenburg | Behavioral Analyst | 5700 S Mo Pac Expy Ste 310, Austin, TX 78749-1457 | 2020-01-22 |
| 1386282630 | Kourtney Souza | Behavioral Analyst | 1500 S Lamar Blvd Apt 2015, Austin, TX 78704-2944 | 2019-12-18 |
| 1447891098 | Vision Aba | Behavioral Analyst | 6205 Adel Cv, Austin, TX 78749-1656 | 2019-10-04 |
| Find all providers in AUSTIN | ||||
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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.