KRISTEN PETRICK (NPI# 1851718787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851718787 |
| Entity Type | Individual |
| Full Name | KRISTEN PETRICK |
| Credential | BCBA |
| Practice Address |
6394 College Blvd Overland Park KS 66211-1506 |
| Practice Telephone | 8003450448 |
| Mailing Telephone | 8003450448 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-15879 | KS | Behavioral Health & Social Service Providers |
| Street Address |
6394 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982855250 | Autism Concepts, Inc. | Behavioral Analyst | 6394 College Blvd, Overland Park, KS 66211-1506 | 2008-10-06 |
| 1003415043 | Madison Katherine Rose Markham | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-10-21 |
| 1114532991 | Austin Terry | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-09-09 |
| 1093329211 | Michael Day | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-09-04 |
| 1174136287 | Ascend Aba LLC | Behavioral Analyst | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-28 |
| 1750994885 | Ascend Aba Kansas LLC | Behavioral Analyst | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-28 |
| 1023621752 | Laris Dotson | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-24 |
| 1215549944 | Sarah Boyce | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-24 |
| 1306458724 | Gage Pemberton | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-18 |
| 1578175998 | Sara Denny | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| 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 |
|---|---|---|---|---|
| 1689287914 | Lisa Marie Ambrosek | Behavioral Analyst | 7725 W 87th Street, Overland Park, KS 66212 | 2020-08-26 |
| 1881228666 | Willow Aba Services LLC | Behavioral Analyst | 9142 W 135th St # Sr, Overland Park, KS 66221-2044 | 2020-03-02 |
| 1801371778 | Angela Marie True | Behavioral Analyst | 6622 W 91st St Apt 254, Overland Park, KS 66212-6094 | 2018-09-26 |
| 1538675079 | Jessica Bennett | Behavioral Analyst | 7050 W 107th St Ste 110, Overland Park, KS 66212-1829 | 2017-12-20 |
| 1639693815 | Kaitlyn Breeden | Behavioral Analyst | 5520 College Blvd Ste 365, Overland Park, KS 66211-1658 | 2017-07-31 |
| 1760927727 | Mirjah Euwema | Behavioral Analyst | 7001 W 79th St, Overland Park, KS 66204-3179 | 2016-12-30 |
| 1871940577 | Joyce Jackson | Behavioral Analyst | 9900 Antioch Rd, Overland Park, KS 66212-4134 | 2016-05-23 |
| 1932556818 | Deborah Gift | Behavioral Analyst | 6403 Floyd St, Overland Park, KS 66202-3941 | 2016-05-19 |
| 1548615420 | Andrea Horner | Behavioral Analyst | 7415 Beverly St, Overland Park, KS 66204-2140 | 2016-04-28 |
| 1205281144 | Marie Leathers | Behavioral Analyst | 10108 W 88th Ter, Overland Park, KS 66212-4610 | 2016-04-28 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.