BRAD DICKEY (NPI# 1760870661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760870661 |
| Entity Type | Individual |
| Full Name | BRAD DICKEY |
| Credential | BCBA |
| Practice Address |
536 E Kelly Ave Jackson WY 83001-8546 |
| Mailing Address |
Po Box 11231 Jackson WY 83002 |
| Practice Telephone | 7158295195 |
| Mailing Telephone | 7158295195 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-12-11844 | WY | Behavioral Health & Social Service Providers |
| Street Address |
536 E KELLY AVE |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467818534 | Nicole Simone | Developmental Therapist | 536 E Kelly Ave, Jackson, WY 83001-8546 | 2016-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062588 | Gitty Rabinowitz | Behavioral Analyst | 4 New Castle Ct, Jackson, NJ 08527-2618 | 2020-08-04 |
| 1255961025 | Kerrin Strano | Behavioral Analyst | 707 Dorathys Ln, Jackson, NJ 08527-3540 | 2020-01-21 |
| 1316586332 | Ettil Kamenetzky | Behavioral Analyst | 11 Colorado Dr, Jackson, NJ 08527-2107 | 2019-12-23 |
| 1982263182 | Rachel Berger | Behavioral Analyst | 6 Clover Hill Dr, Jackson, NJ 08527-1650 | 2019-06-11 |
| 1689133654 | Donna Marie Simon | Behavioral Analyst | 18 Walter Dr, Jackson, NJ 08527-3418 | 2019-03-18 |
| 1811456890 | Step By Step Behavioral Therapy, LLC | Behavioral Analyst | 18 Walter Drive, Jackson, NJ 08527 | 2019-03-18 |
| 1114452208 | Shoshana M Fuchs | Behavioral Analyst | 9 Harvest Ct, Jackson, NJ 08527-1738 | 2017-04-26 |
| 1811436496 | Lynn Sparling | Behavioral Analyst | 480 Leesville Rd, Jackson, NJ 08527-4803 | 2017-02-16 |
| 1366995532 | Elizabeth Lowry | Behavioral Analyst | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2016-07-25 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| Find all providers in JACKSON | ||||
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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.