CHRISTINE DEANNE HENDRICKSON (NPI# 1811533144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811533144 |
| Entity Type | Individual |
| Full Name | CHRISTINE DEANNE HENDRICKSON |
| Practice Address |
10520 Wayzata Blvd Minnetonka MN 55305-1511 |
| Practice Telephone | 6124138780 |
| Mailing Telephone | 6124138780 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639499114 | Christine Laporta Hendrickson | Speech-Language Pathologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2010-06-07 |
| 1871704031 | Christine Margaret Hendrickson | Social Worker | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-05-26 |
| 1699884320 | Christine M Hendrickson | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2006-08-29 |
| Street Address |
10520 WAYZATA BLVD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992711154 | Deborah Jean Clemmensen | Psychologist | 10520 Wayzata Blvd, Woodside Office Park, Minnetonka, MN 55305-1511 | 2006-07-31 |
| 1942853940 | On Track Mn, L.L.C. | Early Intervention Provider Agency | 10520 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2019-07-18 |
| 1518381235 | Peggy Maki Phd LLC | Psychologist | 10520 Wayzata Blvd, #100, Minnetonka, MN 55305-1511 | 2014-02-17 |
| 1144479429 | Deborah Marie Luther | Marriage & Family Therapist | 10520 Wayzata Blvd, Woodside Office Park, Bldg. #3, Minnetonka, MN 55305-1511 | 2008-09-11 |
| 1881862308 | Mahryam Daniels | Marriage & Family Therapist | 10520 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2008-02-19 |
| 1114086667 | Stephen Huey | Psychologist | 10520 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2006-12-08 |
| 1750485744 | Stuart Samuel Dansinger | Psychologist | 10520 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-1511 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| 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 |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1003319286 | Kay Lavonne Brown | Behavior Technician | 10551 Greenbrier Rd Apt 223, Minnetonka, MN 55305-3461 | 2018-03-14 |
| 1033718259 | Cassidy Joy Stream | Behavior Technician | 5501 Feltl Rd, Minnetonka, MN 55343-3944 | 2020-10-19 |
| 1295342939 | Riyana Parekh | Behavior Technician | 5501 Feltl Rd, Minnetonka, MN 55343-3944 | 2020-09-27 |
| 1174136055 | Sophia Rose Ross | Behavior Technician | 5501 Feltl Rd, Minnetonka, MN 55343-3944 | 2020-08-28 |
| 1275146730 | Sydney Anne Schulberg | Behavior Technician | 5501 Feltl Rd, Minnetonka, MN 55343-3944 | 2020-08-25 |
| 1992317788 | Calvin Robert Streit | Behavior Technician | 5501 Feltl Rd, Minnetonka, MN 55343-3944 | 2020-08-21 |
| 1902417561 | Kaitlyn Deanne Lee | Behavior Technician | 5501 Feltl Rd, Minnetonka, MN 55343-3944 | 2020-08-16 |
| 1720696610 | Ashley Catalina Cuellar | Behavior Technician | 5501 Feltl Rd, Minnetonka, MN 55343-3944 | 2020-07-16 |
| 1144848698 | Linh Boi Luong | Behavior Technician | 5501 Feltl Rd, Minnetonka, MN 55343-3944 | 2020-07-10 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on CHRISTINE DEANNE HENDRICKSON.
| 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.