BREANNE BOURGEOIS (NPI# 1720609019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720609019 |
| Entity Type | Individual |
| Full Name | BREANNE BOURGEOIS |
| Practice Address |
1814 W Owen K Garriott Rd Enid OK 73703-5525 |
| Practice Telephone | 5808238017 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1814 W OWEN K GARRIOTT RD |
| City | ENID |
| State | OK |
| Zip Code | 73703-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487925335 | Sandra L. Reese-keck | Counselor | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2012-01-24 |
| 1255951505 | Jamie Poplin | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2020-04-16 |
| 1780204016 | Brianna Mckinnon | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2020-04-16 |
| 1194345496 | Malerie Brianne Snapp | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2020-04-16 |
| 1316588338 | Austin L Hula | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-10-01 |
| 1265083083 | Tiffany Deloris Roth Milspaugh | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-09-23 |
| 1407406960 | Janae Coleman | Behavioral Analyst | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-09-17 |
| 1154971711 | Cindy Lea Hickerson | Behavioral Analyst | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-09-16 |
| 1265082846 | Breonna Marie Collier | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-09-16 |
| 1942850524 | Matthew D Ousley | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1083154173 | Amanda Percival, Pllc | Counselor | 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 | 2017-03-08 |
| 1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
| 1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
| 1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
| 1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
| 1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
| Find all providers in zip 73703 | ||||
| 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 |
|---|---|---|---|---|
| 1518517846 | Melissa Atwood | Behavior Technician | 2103 S Van Buren St, Enid, OK 73703-8216 | 2019-09-18 |
| 1437683786 | Jacque Lozier | Behavior Technician | 309 W. Cherokee, Enid, OK 73701-5603 | 2017-04-13 |
| 1255951505 | Jamie Poplin | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2020-04-16 |
| 1780204016 | Brianna Mckinnon | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2020-04-16 |
| 1194345496 | Malerie Brianne Snapp | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2020-04-16 |
| 1316588338 | Austin L Hula | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-10-01 |
| 1265083083 | Tiffany Deloris Roth Milspaugh | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-09-23 |
| 1265082846 | Breonna Marie Collier | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-09-16 |
| 1942850524 | Matthew D Ousley | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-09-16 |
| 1568012284 | Anna Mae Martin | Behavior Technician | 1814 W Owen K Garriott Rd, Enid, OK 73703-5525 | 2019-09-14 |
| Find all providers in ENID | ||||
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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.