MS. KRISTINE WIRTZ (NPI# 1699264499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699264499 |
| Entity Type | Individual |
| Full Name | MS. KRISTINE WIRTZ |
| Credential | RBT-18-54764 |
| Practice Address |
113 Evergreen Dr Kirkland IL 60146-8803 |
| Practice Telephone | 6302731061 |
| Mailing Telephone | 6302731061 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 18-54764 | IL | Behavioral Health & Social Service Providers |
| Street Address |
113 EVERGREEN DR |
| City | KIRKLAND |
| State | IL |
| Zip Code | 60146-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619285509 | Simple Rx Inc. | Pharmacy | 527 West Main St. Unit 1w, Unit 1w, Kirkland, IL 60146 | 2010-09-14 |
| 1821265588 | Robert Tutt | Community Health Worker | 5610 Hortense, Kirkland, IL 60146 | 2008-05-13 |
| 1114947876 | Thomas L. Michalsen | General Practice | 406 South 5th Street, Kirkland, IL 60146 | 2006-07-19 |
| 1598783037 | Barbara J Runne | Dentist | 105 Brennan Drive, Kirkland, IL 60146 | 2006-07-17 |
| 1831363076 | Barbara J. Runne, D.d.s. | Dentist | 105 Brennan Drive, Kirkland, IL 60146 | 2008-04-18 |
| 1841214368 | Thomas L. Michalsen Do Ltd | Family Medicine | 406 South 5th Street, Kirkland, IL 60146 | 2006-07-27 |
| 1477755981 | Hiawatha Cusd 426 | Local Education Agency (LEA) | First Hortense, Kirkland, IL 60146-0428 | 2007-06-05 |
| 1154877934 | Cynthia Anderson | Social Worker | 409 Lawrence Drive, Kirkland, IL 60146-0433 | 2016-08-31 |
| 1912472267 | Michelle Platt | Psychologist | 410 1st St, Kirkland, IL 60146-7700 | 2018-10-12 |
| 1093360588 | Mallory Faivre | Specialist/Technologist | 410 1st St, Kirkland, IL 60146-7700 | 2019-08-02 |
| Find all providers in zip 60146 | ||||
| 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 |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1639651219 | Nicole Victoria Bash | Behavior Technician | 8848 Ne 116th Pl, Kirkland, WA 98034-6113 | 2018-08-30 |
| 1679052682 | Marissa Elizabeth Mcminn | Behavior Technician | 11720 Ne 130th Pl Apt G20, Kirkland, WA 98034-2934 | 2018-08-09 |
| 1245756006 | Aporosa Laqila | Behavior Technician | 12842 Ne 102nd Pl, Kirkland, WA 98033-5248 | 2017-08-14 |
| 1699216614 | Camilla Kuhns | Behavior Technician | 13815 123rd Ave Ne, Kirkland, WA 98034-2248 | 2017-03-09 |
| 1275084394 | Henry Rogers | Behavior Technician | 13307 92nd Ave Ne, Kirkland, WA 98034-1867 | 2016-10-24 |
| 1730514118 | Courtney Lynn Martin | Behavior Technician | 9811 Ne 130th Pl Apt 106, Kirkland, WA 98034-2782 | 2013-09-04 |
| 1063012565 | Racheal Sauceda | Behavior Technician | 1003 7th Ave Ste A, Kirkland, WA 98033-5779 | 2020-10-26 |
| 1962002469 | Ashley Talley | Behavior Technician | 1003 7th Ave Ste A, Kirkland, WA 98033-5779 | 2020-10-26 |
| Find all providers in KIRKLAND | ||||
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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.