TERRY IRVINE (NPI# 1699399758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699399758 |
| Entity Type | Individual |
| Full Name | TERRY IRVINE |
| Credential | RBT |
| Practice Address |
2475 W Chicago St Rapid City SD 57702-2467 |
| Practice Telephone | 6052065004 |
| Practice Fax Number | 6056464840 |
| Mailing Telephone | 6052065004 |
| Mailing Fax Number | 6056464840 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-121868 | Behavioral Health & Social Service Providers |
| Street Address |
2475 W CHICAGO ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361712 | Nancy L Pruitt | Behavioral Analyst | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2018-10-06 |
| 1770181349 | Hailey Crowe | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-10-15 |
| 1417571571 | Kelsey Hendrickson | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-06-04 |
| 1689298168 | Valerie Sabrowski | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-06-01 |
| 1023638855 | Autumn Stocking | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-04-22 |
| 1275166555 | Erin Desmond | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-02-14 |
| 1659910891 | Tristeena Reckling | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-01-06 |
| 1750927828 | Grace Nolte | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2019-11-22 |
| 1184266777 | Ashlee Mayhue | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2019-10-15 |
| 1619442522 | Black Hills Behavior, LLC | Assistant Behavior Analyst | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2018-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| 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 |
|---|---|---|---|---|
| 1326648312 | Megan Rae Riley | Behavior Technician | 7110 Jordan Dr, Rapid City, SD 57702-8738 | 2020-10-28 |
| 1700486834 | Faye Miller | Behavior Technician | 7110 Jordan Dr, Rapid City, SD 57702-8738 | 2020-10-28 |
| 1255930913 | Connie Jo Kaffar | Behavior Technician | 7110 Jordan Dr, Rapid City, SD 57702-8738 | 2020-10-22 |
| 1528667292 | Taylor Sheree Myers | Behavior Technician | 7110 Jordan Dr, Rapid City, SD 57702-8738 | 2020-10-22 |
| 1770181349 | Hailey Crowe | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-10-15 |
| 1417571571 | Kelsey Hendrickson | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-06-04 |
| 1689298168 | Valerie Sabrowski | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-06-01 |
| 1023638855 | Autumn Stocking | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-04-22 |
| 1275166555 | Erin Desmond | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-02-14 |
| 1659910891 | Tristeena Reckling | Behavior Technician | 2475 W Chicago St, Rapid City, SD 57702-2467 | 2020-01-06 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on TERRY IRVINE.
| 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.