TRINITY LYNN KLECKER (NPI# 1720629793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720629793 |
| Entity Type | Individual |
| Full Name | TRINITY LYNN KLECKER |
| Practice Address |
416 Brierwood Ct Se Castle Rock WA 98611-9615 |
| Practice Telephone | 3603530112 |
| Mailing Telephone | 3603530112 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| 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 |
416 BRIERWOOD CT SE |
| City | CASTLE ROCK |
| State | WA |
| Zip Code | 98611-9615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942568522 | Almost Angels Home Care Agency, LLC | In Home Supportive Care | 211 Front Ave Sw, Castle Rock, WA 98611 | 2012-05-02 |
| 1922204866 | Emma V Torres Baltazar Md Pllc | Family Medicine | 606 Se Roake Avenue, Castle Rock, WA 98611 | 2007-06-26 |
| 1417002064 | Crystal L Davis | Massage Therapist | 139 1st Ave. Sw, Castle Rock, WA 98611 | 2007-01-24 |
| 1134284060 | Pt Northwest of Longview Inc | Physical Therapist | 20 Cowlitz, Castle Rock, WA 98611 | 2006-12-22 |
| 1306857800 | Castle Rock Pharmacy Inc | Pharmacy | 117 1st Sw, Castle Rock, WA 98611 | 2006-08-10 |
| 1619901592 | Emma V. Torres-baltazar | Family Medicine | 606 Se Roake St. / Avenue, Castle Rock Medical Clinic, Castle Rock, WA 98611 | 2006-07-10 |
| 1427005164 | Gregory Loren Finkas | Chiropractor | 1254 Mt St Helens Way Ne, Suite E, Castle Rock, WA 98611 | 2006-05-28 |
| 1164490058 | City of Castle Rock | Ambulance | 146 A Street Sw, Castle Rock, WA 98611 | 2006-03-08 |
| 1962496083 | Beverly M Search | Registered Nurse | 139 1st Ave Sw, Castle Rock, WA 98611 | 2005-09-02 |
| 1235623844 | Tina M Pond | Registered Nurse | 2232 S Silver Lake Rd, Castle Rock, WA 98611 | 2018-06-18 |
| Find all providers in zip 98611 | ||||
| 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 |
|---|---|---|---|---|
| 1407471113 | Sydney Waite | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-06-09 |
| 1588200430 | Mackenzie Morones | Behavior Technician | 525 Scott Blvd Apt 304, Castle Rock, CO 80104-7596 | 2019-11-25 |
| 1932761376 | Sara Jean Jenkins | Behavior Technician | 147 Dixon Rd, Castle Rock, WA 98611-9320 | 2019-07-06 |
| 1285124107 | Malyka Pettigrue | Behavior Technician | 7310 Blue Water Dr, Castle Rock, CO 80108-8531 | 2018-05-16 |
| 1174013486 | Cheryl Ann Morris | Behavior Technician | 5048 Rocky Mountain Dr, Castle Rock, CO 80109-8636 | 2018-05-11 |
| 1215534789 | Sara Flores | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-10-07 |
| 1306443866 | Elise Wilkins | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-10-07 |
| 1972117612 | Michelle Miller | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-09-01 |
| 1679183750 | Sydney Boyd | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-08-04 |
| 1023628104 | Audrey Glenn | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-08-04 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 98611 |
Please comment or provide details below to improve the information on TRINITY LYNN KLECKER.
| 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.