COLLIN CUNNINGHAM (NPI# 1699323444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699323444 |
| Entity Type | Individual |
| Full Name | COLLIN CUNNINGHAM |
| Practice Address |
1825 Marika Rd Fairbanks AK 99709-5521 |
| Practice Telephone | 9074740890 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| 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 |
| Street Address |
1825 MARIKA RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225099765 | Richard Calvin Brown Jr. | Psychiatry & Neurology | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2006-03-31 |
| 1073130720 | Andrew Anthony Lara | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-29 |
| 1336765114 | Kevin Johnson Jr. | Behavior Technician | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-17 |
| 1346865565 | Joshua Vazquez Gonzalez | Behavior Technician | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-12 |
| 1194354639 | Mark Dinelt | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-04-06 |
| 1487286860 | John Walter Flynn | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-02-04 |
| 1962033282 | Family Centered Services of Alaska | Clinic/Center | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-27 |
| 1881224301 | Jheri Rea Bock | Behavioral Analyst | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-23 |
| 1922638527 | Tracy Mcdonald-ofeldt | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-22 |
| 1528602869 | Noah Harris | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2019-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| 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 |
|---|---|---|---|---|
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1831708932 | Bessie Ann Olney | Behavior Technician | 996 Eastwood Ln, Fairbanks, AK 99712-2138 | 2020-07-24 |
| 1851916480 | Zachary Vehmeier | Behavior Technician | 831 3rd Ave, Fairbanks, AK 99701-4456 | 2020-06-09 |
| 1912548074 | Leila Mecklenburg | Behavior Technician | 1976 September Ct, Fairbanks, AK 99709-6274 | 2019-09-30 |
| 1295376358 | Angela Nicole Byrd | Behavior Technician | 1600 Washington Dr Apt A3, Fairbanks, AK 99709-5006 | 2019-09-30 |
| 1851949614 | Bhawana Ghimire | Behavior Technician | 3010 Davis Rd Apt B44, Fairbanks, AK 99709-6905 | 2019-08-26 |
| 1801440730 | Lakesha Renee Nunley | Behavior Technician | 4761 Glasgow Dr, Fairbanks, AK 99709-2911 | 2019-07-29 |
| 1073167128 | Paris C Barnes-olson | Behavior Technician | 1700 Willow St Apt 8, Fairbanks, AK 99709-4185 | 2019-07-26 |
| 1992357081 | Alejandrina Maria Mallet | Behavior Technician | 772 Karluk Ct, Fairbanks, AK 99701-1407 | 2019-07-10 |
| 1710494653 | Julie A Chavez | Behavior Technician | 102 Allegheny Way, Fairbanks, AK 99709-3026 | 2017-12-31 |
| Find all providers in FAIRBANKS | ||||
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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.