MCKENNA SHIPPER (NPI# 1861956088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861956088 |
| Entity Type | Individual |
| Full Name | MCKENNA SHIPPER |
| Practice Address |
945 Pendell Blvd Mills WY 82644 |
| Mailing Address |
1105 W Russell St Sioux Falls SD 57104-1322 |
| Practice Telephone | 6052712690 |
| Mailing Telephone | 6052712690 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| 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 |
945 PENDELL BLVD |
| City | MILLS |
| State | WY |
| Zip Code | 82644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740992 | Christina Boehlke | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644-1916 | 2019-09-20 |
| 1922659069 | Nicole S Heatherington | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644-1916 | 2019-09-20 |
| 1164078044 | Stephanee Tea | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644 | 2019-08-15 |
| 1790343788 | Ingrid Freeman | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644 | 2019-06-04 |
| 1710543970 | Allison Stockdale | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644-1916 | 2019-05-14 |
| 1225590003 | Morgan B Brown | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644-1916 | 2019-04-02 |
| 1477019149 | Austin Hartman | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644-1916 | 2019-02-18 |
| 1427513191 | Whitney Grace Brown | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644-1916 | 2019-02-06 |
| 1073085841 | Trevor Brost | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644 | 2018-12-18 |
| 1972072338 | Karey Mcdonald | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644 | 2018-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243149 | Elexis Dawn Enis | In Home Supportive Care | 823 Midwest Avenue, Mills, WY 82644 | 2020-04-10 |
| 1366004939 | Skylar M Baeriswyl | Behavior Technician | 745 Pendell Blvd, Mills, WY 82644 | 2019-07-03 |
| 1255853099 | Janette Nostrum | Behavior Technician | 945 Pendell Blvd., Mills, WY 82644 | 2017-07-13 |
| 1225636780 | Jayde Parmely | Behavior Technician | 945 Pendell Blvd., Mills, WY 82644-1916 | 2020-10-15 |
| 1215574454 | Bryant Joseph Macmillan | Behavior Technician | 945 Pendell Blvd., Mills, WY 82644-1916 | 2019-12-06 |
| 1083226146 | Sophie Lamarche | Behavior Technician | 945 Pendell Blvd., Mills, WY 82644-8264 | 2020-08-20 |
| 1649880493 | Shane Nichols | Behavioral Analyst | 945 Pendell Blvd., Mills, WY 82644-8264 | 2020-08-06 |
| 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 |
|---|---|---|---|---|
| 1366004939 | Skylar M Baeriswyl | Behavior Technician | 745 Pendell Blvd, Mills, WY 82644 | 2019-07-03 |
| 1255853099 | Janette Nostrum | Behavior Technician | 945 Pendell Blvd., Mills, WY 82644 | 2017-07-13 |
| 1225636780 | Jayde Parmely | Behavior Technician | 945 Pendell Blvd., Mills, WY 82644-1916 | 2020-10-15 |
| 1083226146 | Sophie Lamarche | Behavior Technician | 945 Pendell Blvd., Mills, WY 82644-8264 | 2020-08-20 |
| 1215574454 | Bryant Joseph Macmillan | Behavior Technician | 945 Pendell Blvd., Mills, WY 82644-1916 | 2019-12-06 |
| 1831740992 | Christina Boehlke | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644-1916 | 2019-09-20 |
| 1922659069 | Nicole S Heatherington | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644-1916 | 2019-09-20 |
| 1164078044 | Stephanee Tea | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644 | 2019-08-15 |
| 1790343788 | Ingrid Freeman | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644 | 2019-06-04 |
| 1710543970 | Allison Stockdale | Behavior Technician | 945 Pendell Blvd, Mills, WY 82644-1916 | 2019-05-14 |
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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.