SANDRA LEANN VERNON (NPI# 1669008603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669008603 |
| Entity Type | Individual |
| Full Name | SANDRA LEANN VERNON |
| Credential | B.S., M.ED. |
| Practice Address |
12553 W Explorer Dr Ste 190 Boise ID 83713-1612 |
| Mailing Address |
4900 N Contour Way Boise ID 83703-2795 |
| Practice Telephone | 2089725254 |
| Mailing Telephone | 9082101838 |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | WA | Behavioral Health & Social Service Providers |
| Street Address |
12553 W EXPLORER DR STE 190 |
| City | BOISE |
| State | ID |
| Zip Code | 83713-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586193 | Sage Gabriel Rogers | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-10-18 |
| 1275131989 | Lydia Belle Reissmann | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-10-14 |
| 1184230880 | Monica Virgen | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-09-17 |
| 1477169407 | Kaelee Mayer | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-09-15 |
| 1225649775 | Holly Ann Bostick | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-08-10 |
| 1679181366 | Diana Robles | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-07-17 |
| 1235756610 | Nicole Laine Martinez | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-07-01 |
| 1205452000 | Darby Alison Ottinger | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-06-18 |
| 1487278362 | Sierra Nicole Garrett | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-06-05 |
| 1487288239 | Jayson Egwuonwu | Behavior Technician | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 | 2020-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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 |
|---|---|---|---|---|
| 1740889989 | Sarah Lorraine Gill | Behavior Technician | 1015 W University Dr, Boise, ID 83706-3006 | 2020-10-20 |
| 1124626502 | Michael Corey | Behavior Technician | 4618 W Gage St, Boise, ID 83706-2124 | 2020-10-16 |
| 1396342077 | Laura Halsted | Behavior Technician | 3200 E Anemone Ct, Boise, ID 83716-6847 | 2020-10-05 |
| 1699372508 | Kayla Marie Ray | Behavior Technician | 7766 W Paloma St, Boise, ID 83704-0701 | 2020-10-04 |
| 1942807078 | Lauryn Temple | Behavior Technician | 7960 W Northview St, Boise, ID 83704-7242 | 2020-10-01 |
| 1386258705 | Amy Lytle | Behavior Technician | 1300 S Arcadia St, Boise, ID 83705-6051 | 2020-09-02 |
| 1194338400 | Sarah Janousek | Behavior Technician | 8701 W Brynwood Dr, Boise, ID 83704-3004 | 2020-08-26 |
| 1912517418 | Nicole Herring | Behavior Technician | 8300 W Grubstake St, Boise, ID 83709-4959 | 2020-08-09 |
| 1225651045 | Elizabeth Delaine Adams | Behavior Technician | 9857 W Granger Ave, Boise, ID 83704-5353 | 2020-05-27 |
| 1134742950 | Catherine Bird | Behavior Technician | 7622 W Settlers Ave, Boise, ID 83704-5819 | 2020-05-27 |
| Find all providers in BOISE | ||||
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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.