JACK D. TANNER (NPI# 1699259531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699259531 |
| Entity Type | Individual |
| Full Name | JACK D. TANNER |
| Practice Address |
4760 Oakland St Ste 100 Denver CO 80239-2732 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 7204520335 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215024864 | Jack Ellis Tanner | Pharmacist | 1206 Crawford St, Americus, GA 31709-3277 | 2006-10-06 |
| Street Address |
4760 OAKLAND ST STE 100 |
| City | DENVER |
| State | CO |
| Zip Code | 80239-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396305 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-11-03 |
| 1780298554 | Danielle M Linsenmayer | Behavior Technician | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-08-31 |
| 1154931384 | Mallory Ayers | Behavior Technician | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-08-03 |
| 1467061283 | Lauren E Verna | Behavior Technician | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-07-28 |
| 1659980456 | Lucinda M Colson | Behavior Technician | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-07-28 |
| 1548878895 | Alyssa Maion Parker | Behavior Technician | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-07-22 |
| 1922616622 | Jasmine Monique Frescaz | Behavior Technician | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-07-19 |
| 1740807627 | Lauriel Miranda-troup | Behavior Technician | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-06-26 |
| 1588280317 | Tahaijanae J Marshall | Behavioral Analyst | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-06-17 |
| 1457977340 | Bailey Marie Meseck | Behavior Technician | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799624 | Tiffanny Edelman | Behavior Technician | 12015 E. 46th Avenue Suite 680, Denver, CO 80239 | 2020-01-15 |
| 1427543586 | Magnolia Medical Company | Clinical Medical Laboratory | 10515 40th Avenue Suite 115, Denver, CO 80239 | 2018-06-29 |
| 1124477427 | Mallory Jean Crouch | Counselor | 3720 Revere St., Ste. B, Denver, CO 80239 | 2016-06-07 |
| 1659760841 | Ebony Leanne Williams | Home Health Aide | 14976 E 50th Dr, Denver, CO 80239 | 2015-01-12 |
| 1154686301 | Tuesday Nicole Hennessy | Optometrist | 4804 N Chambers Rd, Denver, CO 80239 | 2012-07-12 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1699902114 | James Gabel Kaferly IIi | Pediatrics | 12600 East Albrook Dr., Montbello Family Health Center Office, Denver, CO 80239 | 2009-06-11 |
| 1073733218 | Health One Home Health Care LLC. | Home Health | 4890 Ironton St, Unit H6, Denver, CO 80239 | 2007-04-30 |
| 1164578993 | Chelle Marie Lodge-guttery | Psychologist | 10900 Smith Rd., Denver, CO 80239 | 2007-01-26 |
| 1952327975 | Russell Wm Simpson | Internal Medicine | 4896 Chambers Rd., Denver, CO 80239 | 2006-07-14 |
| Find all providers in zip 80239 | ||||
| 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 |
|---|---|---|---|---|
| 1821697384 | Martha Sims | Behavior Technician | 2450 S University Blvd Unit 307, Denver, CO 80210-5490 | 2020-10-25 |
| 1487253274 | Karen Alaine Wallis | Behavior Technician | 2717 S Glencoe St, Denver, CO 80222-6848 | 2020-10-22 |
| 1699386490 | Bridget Joy Roggow | Behavior Technician | Technology Way Apt 301, Denver, CO 80237 | 2020-08-14 |
| 1124636535 | Alicia Arias-buckeye | Behavior Technician | 9100 E Florida Ave Apt 24-207, Denver, CO 80247-2880 | 2020-07-22 |
| 1386252237 | Michelle Jinsun Moon | Behavior Technician | 2975 Huron St Apt 433, Denver, CO 80202-1052 | 2020-07-16 |
| 1518585611 | Sierra Michelle Dwyer | Behavior Technician | 2020 Lawrence St Unit 510, Denver, CO 80205-2155 | 2020-07-06 |
| 1710504527 | Emily Elizabeth Sjolander | Behavior Technician | 3655 S Verbena St Apt I303, Denver, CO 80237-1568 | 2020-06-26 |
| 1992320428 | Renate Petters | Behavior Technician | 1799 S. Dayton St., Building 2 Unit 237, Denver, CO 80247 | 2020-06-10 |
| 1417571381 | Bonnae Marie Hammond | Behavior Technician | 1938 N Pennsylvania St Unit 4407, Denver, CO 80203-1324 | 2020-06-05 |
| 1437771292 | Jesseca Leutbecher | Behavior Technician | 3247 Kearney St Apt A, Denver, CO 80207-2188 | 2020-05-14 |
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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.