COURTNEY KRYSTAL GIBBONS (NPI# 1851948152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851948152 |
| Entity Type | Individual |
| Full Name | COURTNEY KRYSTAL GIBBONS |
| Practice Address |
N20527 County Road J Arcadia WI 54612-1786 |
| Mailing Address |
223 Center St Winona MN 55987-3595 |
| Practice Telephone | 6085393405 |
| Mailing Telephone | 5074744840 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447767033 | Courtney Gibbons | Behavioral Analyst | 2342 Professional Pkwy Ste 300, Santa Maria, CA 93455-6819 | 2018-01-04 |
| Street Address |
N20527 COUNTY ROAD J |
| City | ARCADIA |
| State | WI |
| Zip Code | 54612-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396099065 | Gundersen Clinic Ltd | Clinic/Center | 108 S 3rd St, Arcadia, WI 54612 | 2012-11-02 |
| 1972605731 | Alan J Bassuener | Chiropractor | 308 St Joseph Ave Suite 2, Arcadia, WI 54612 | 2006-09-02 |
| 1841231354 | Iwona E Lewis | Physical Therapist | 464 S St Joseph Avenue, Arcadia, WI 54612 | 2006-06-08 |
| 1023008547 | Bert S Hodous | Family Medicine | 895 Dettloff Dr, Arcadia, WI 54612 | 2005-10-26 |
| 1831448299 | Mary A. Green | Nurse Practitioner | 895 Dettloff Dr, Arcadia, WI 54612 | 2012-08-31 |
| 1508937780 | David E Brown | Counselor | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-11-10 |
| 1679510507 | Janet W Butler | Social Worker | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-05-31 |
| 1992700421 | Connie M Hoppe | Nurse Practitioner | 209 N 3rd St, Arcadia, WI 54612-1002 | 2005-06-21 |
| 1962020487 | Robert Burge | Physical Therapy Assistant | 108 Grant St, Arcadia, WI 54612-1206 | 2020-07-10 |
| 1750779013 | Holly Marie Glanville | Registered Nurse | 625 W Main St, Arcadia, WI 54612-1227 | 2015-01-08 |
| Find all providers in zip 54612 | ||||
| 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 |
|---|---|---|---|---|
| 1538658331 | Caryl Dann | Behavior Technician | 313 S 3rd Ave, Arcadia, CA 91006-3804 | 2018-05-07 |
| 1073012126 | Brante' Ruaro | Behavior Technician | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2018-02-05 |
| 1427698745 | Angelina Renae Ruiz | Behavior Technician | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2020-01-14 |
| 1578106530 | Bridget Marie Perez | Behavior Technician | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2019-10-23 |
| 1851933071 | Tatihana Flores | Behavior Technician | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2019-10-09 |
| 1164063426 | Sierra Nicole Freire | Behavior Technician | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2019-10-07 |
| 1821649732 | Lorena Bayardo | Behavior Technician | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2019-09-23 |
| 1275182693 | Sarah Darlene Medina | Behavior Technician | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2019-09-09 |
| 1982252862 | Arlene Monique Castorena | Behavior Technician | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2019-09-03 |
| 1750938882 | Sophia Dorothy Moritz | Behavior Technician | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2019-08-22 |
| Find all providers in ARCADIA | ||||
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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.