GAGE RAYMOND GRACE (NPI# 1679033583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679033583 |
| Entity Type | Individual |
| Full Name | GAGE RAYMOND GRACE |
| Practice Address |
3501 Sheppard Access Rd Wichita Falls TX 76306-4235 |
| Practice Telephone | 9407828397 |
| Mailing Telephone | 9402285297 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3501 SHEPPARD ACCESS RD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76306-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669705281 | Vanessa Marina Wallace | Speech-Language Pathologist | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2009-09-14 |
| 1902463276 | North Texas Diagnostic Intervention Behavioral Clinic | Behavior Technician | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2019-05-22 |
| 1386129401 | Sydney Kate Barton | Behavioral Analyst | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2018-09-25 |
| 1699150169 | Kelly Grace | Behavioral Analyst | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2015-07-27 |
| 1518213669 | Rachel S Bertleson | Psychologist | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2012-07-26 |
| 1598098873 | Lifeline Pediatric Clinics | Clinic/Center | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2009-09-17 |
| 1801129317 | Jena Lee Brown | Dietitian, Registered | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881175214 | Kayla Christina Lynn Widener | Occupational Therapy Assistant | 300 Tx -11 Loop, Wichita Falls, TX 76306 | 2018-08-23 |
| 1043767221 | Value Smiles Pllc | Dentist | 2710 Central Freeway, Ste 140, Wichita Falls, TX 76306 | 2016-09-06 |
| 1033511514 | Katryna Ehlinger | Military Health Care Provider | 7656 Chablis Circle, Wichita Falls, TX 76306 | 2014-09-16 |
| 1770701518 | Gary Lee Schultz Jr. | Pharmacist | 2522 Iowa Park Road, Wichita Falls, TX 76306 | 2007-04-24 |
| 1558409482 | United Supermarkets, L.L.C. | Pharmacy | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-02-02 |
| 1679787428 | Cynthia Diane Smith | Pharmacist | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-05-10 |
| 1992932396 | Tina Marie Harris | Military Health Care Provider | 5608 Greentree Ave, Wichita Falls, TX 76306-1145 | 2009-06-12 |
| 1487042453 | Jill Oldham | Behavioral Analyst | 2307 Hunters Gln, Wichita Falls, TX 76306-1148 | 2014-12-29 |
| 1275916306 | Venus Efebo | Counselor | 2511 Missile Rd, Wichita Falls, TX 76306-1321 | 2015-07-07 |
| 1932390192 | Jane Cook | Licensed Vocational Nurse | 4104 Lenore Dr, Wichita Falls, TX 76306-1807 | 2007-08-05 |
| Find all providers in zip 76306 | ||||
| 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 |
|---|---|---|---|---|
| 1235739285 | Emily Sanchez | Behavioral Analyst | 4084 S Regent Dr, Wichita Falls, TX 76308-1508 | 2020-10-29 |
| 1487042453 | Jill Oldham | Behavioral Analyst | 2307 Hunters Gln, Wichita Falls, TX 76306-1148 | 2014-12-29 |
| 1720698541 | Dana Diane Hodges | Behavioral Analyst | 4084 Regent Dr, Wichita Falls, TX 76308-1508 | 2020-08-06 |
| 1457986077 | Cristina T Vanarsdall | Behavioral Analyst | 4084 Regent Dr, Wichita Falls, TX 76308-1508 | 2020-03-04 |
| 1386129401 | Sydney Kate Barton | Behavioral Analyst | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2018-09-25 |
| 1699150169 | Kelly Grace | Behavioral Analyst | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2015-07-27 |
| 1154727428 | Charli Doyle | Behavioral Analyst | 1800 Rose St, Wichita Falls, TX 76301-4219 | 2014-11-13 |
| 1295168367 | Jenna Daily | Behavioral Analyst | 1800 Rose St, Wichita Falls, TX 76301-4219 | 2013-08-13 |
| 1659613024 | Taylor Cavitt | Behavioral Analyst | 1800 Rose St, Wichita Falls, TX 76301-4219 | 2013-03-22 |
| 1538413414 | Shelly Ann Wilson | Behavioral Analyst | 500 Broad St, Wichita Falls, TX 76301-3109 | 2012-10-31 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76306 |
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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.