JENNA K AVERBECK (NPI# 1659656429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659656429 |
| Entity Type | Individual |
| Full Name | JENNA K AVERBECK |
| Practice Address |
901 Caledonia St La Crosse WI 54603-2616 |
| Practice Telephone | 6087854100 |
| Practice Fax Number | 6087854101 |
| Mailing Telephone | 6087854100 |
| Mailing Fax Number | 6087854101 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2017-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 33-140 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BEHAVIOR ANALYST CERTIFICATION BOARD, INC | 1-10-7467 | 01 |
| Street Address |
901 CALEDONIA ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54603-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215912662 | Jacquelyn A Schmida | Speech-Language Pathologist | 901 Caledonia St, La Crosse, WI 54603-2616 | 2005-12-08 |
| 1538768494 | Sadie Mckay Spahn I | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-21 |
| 1891394110 | Allison Marie Deisting | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-19 |
| 1265030779 | Katelyn Felten | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-10-16 |
| 1447867429 | Andrea Rogala | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-09-24 |
| 1265048193 | Melissa Elizabeth Houman | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-09-16 |
| 1053924944 | Carlie Frances Ames | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-08-28 |
| 1255944898 | Miranda Molland | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-08-24 |
| 1811506363 | Elisha Lindsey | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-07-29 |
| 1134747710 | Courtney Taylor Schanau | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
| 1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
| 1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
| 1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
| 1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
| 1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
| 1164624920 | Kimberly Ann Connor | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100, La Crosse, WI 54603 | 2007-06-04 |
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| 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 |
|---|---|---|---|---|
| 1255944898 | Miranda Molland | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-08-24 |
| 1467078105 | Alexander James Katzka | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2020-06-18 |
| 1942841796 | Brittany Helen Dunnum | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2019-10-02 |
| 1811466725 | Brittany Ann King | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2018-11-20 |
| 1982180014 | Tracey Cowley | Behavioral Analyst | 2515 Smith Valley Rd, La Crosse, WI 54601-2941 | 2018-07-11 |
| 1003316399 | Corina M Colon | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2018-02-14 |
| 1487101333 | Lindsay Kelly | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2016-09-08 |
| 1013368307 | Hannah Ritchie | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2016-06-28 |
| 1831540129 | Taylor Gittens | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2016-06-28 |
| 1710373121 | Alia Frances Mccann | Behavioral Analyst | 901 Caledonia St, La Crosse, WI 54603-2616 | 2015-04-13 |
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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.