JOLEEN BREGE (NPI# 1851957856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851957856 |
| Entity Type | Individual |
| Full Name | JOLEEN BREGE |
| Practice Address |
925 Highway V V Kennett MO 63857-0071 |
| Practice Telephone | 5738885925 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| 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 |
| Street Address |
925 HIGHWAY V V |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-0071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316983463 | Eric Snipes | Counselor | 925 Highway V V, Kennett, MO 63857 | 2006-06-20 |
| 1497371975 | Kasey Marie Holifield | Peer Specialist | 925 Highway V V, Kennett, MO 63857-0071 | 2020-06-22 |
| 1548890577 | Autumn Flowers | Behavior Technician | 925 Highway V V, Kennett, MO 63857 | 2020-01-17 |
| 1730726019 | Brittany Elisabeth Axelson | Driver | 925 Highway V V, Kennett, MO 63857-0071 | 2019-12-05 |
| 1659836930 | David Eichler | Counselor | 925 Highway V V, Kennett, MO 63857-0071 | 2019-01-31 |
| 1720551377 | Heather Overton | Behavior Technician | 925 Highway V V, Kennett, MO 63857 | 2019-01-07 |
| 1780151795 | Angela Peters | Behavior Technician | 925 Highway V V, Kennett, MO 63857-0071 | 2018-10-29 |
| 1811471592 | Lessie Ellen Long | Peer Specialist | 925 Highway V V, Kennett, MO 63857-3866 | 2018-09-19 |
| 1609355213 | Amanda Vazquez | Case Manager/Care Coordinator | 925 Highway V V, Kennett, MO 63857 | 2018-08-14 |
| 1174010995 | Taylor Rae Ellsworth | Licensed Practical Nurse | 925 Highway V V, Kennett, MO 63857 | 2018-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
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| 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 |
|---|---|---|---|---|
| 1578042750 | Brandi Leann Flanigan | Behavior Technician | 935 State Highway V V, Kennett, MO 63857-3822 | 2018-08-09 |
| 1861986564 | Devin Thompson | Behavior Technician | 1109 Jones St Bldg C, Kennett, MO 63857-3824 | 2018-06-18 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1154822765 | Velma Louise Dority | Behavior Technician | 925 Highway V V, Kennett, MO 63857-0071 | 2018-02-28 |
| 1104339449 | Kimberly Ruth Mccaig | Behavior Technician | Po Box 71, Kennett, MO 63857-0071 | 2017-11-08 |
| 1578014684 | Marissa Jeree Sebastian | Behavior Technician | 102 W Clipper St, Kennett, MO 63857-1910 | 2016-10-24 |
| 1245531235 | Krystal Joyce | Behavior Technician | 1075 Jones St, Kennett, MO 63857-3866 | 2010-11-08 |
| 1972110419 | Della Sparks | Behavior Technician | 1201 Ely St, Kennett, MO 63857-1336 | 2020-09-29 |
| 1518571728 | Dana Renee Brunk | Behavior Technician | 925 Highway Vv, Kennett, MO 63857 | 2020-09-04 |
| 1306455415 | Brandon Giovanni Santos | Behavior Technician | 1226 Independence Ave, Kennett, MO 63857-1316 | 2020-07-24 |
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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.