JACKSON HOLE BEHAVIORAL SERVICES, LLC (NPI# 1881071355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881071355 |
| Entity Type | Organization |
| Organization Name | JACKSON HOLE BEHAVIORAL SERVICES, LLC |
| Other Organization Name | PEAK BEHAVIORAL SERVICES, LLC |
| Practice Address |
310 E Broadway Ave Jackson WY 83001 |
| Mailing Address |
Po Box 11231 Jackson WY 83002-1231 |
| Practice Telephone | 7158295195 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | MR. BRAD DICKEY (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Telephone | 7158295195 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 1-12-11844 | Agencies |
| Other Name | Type Code |
|---|---|
| Peak Behavioral Services, LLC | Doing Business As Name - Organization |
| Street Address |
310 E BROADWAY AVE |
| City | JACKSON |
| State | WY |
| Zip Code | 83001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245471846 | Holland Wilson | Marriage & Family Therapist | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2009-03-12 |
| 1154921922 | Chase Mcfadden | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-10-29 |
| 1457951469 | Ethan Bell | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-10-28 |
| 1861007320 | Wendy Tucker | Behavioral Analyst | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-09-11 |
| 1952919565 | Audrey Quest | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-07-20 |
| 1871121467 | Kindsey Smith | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-03-30 |
| 1457987174 | John Michael Wells | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-03-13 |
| 1740842624 | Lesley Beus Romero | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2019-07-01 |
| 1568928034 | Lauren Mayer | Behavioral Analyst | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2019-02-20 |
| 1619458056 | Marsha Elizabeth Hale | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2018-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306232632 | Jackson County Youth Center | Early Intervention Provider Agency | 930 Fleming Ave, Jackson, MI 49202-2534 | 2015-04-14 |
| 1043649668 | Cathlin Hayes | Early Intervention Provider Agency | 430 Briar Crest Dr, Jackson, MO 63755-1175 | 2013-11-04 |
| 1689957946 | Children's Learning Center | Early Intervention Provider Agency | 3105 Big Trail Dr., Jackson, WY 83001 | 2011-09-23 |
| 1952693848 | Mid Jackson Family Health Clinic | Early Intervention Provider Agency | 514 E Woodrow Wilson Ave # C, Jackson, MS 39216-4538 | 2011-05-10 |
| 1508095480 | Trendline Consulting LLC | Early Intervention Provider Agency | 1061 Sierra Ct, Jackson, MO 63755-6100 | 2009-07-13 |
| 1578751723 | Mississippi Families for Kids | Early Intervention Provider Agency | 620 N State St, 304, Jackson, MS 39202-3305 | 2007-10-11 |
| 1003172149 | Communication Connects | Early Intervention Provider Agency | 225 Jasmine Dr, Jackson, MS 39212-3283 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831581719 | Early Intervention Program | Early Intervention Provider Agency | 9 Shipton Lane, Fort Washakie, WY 82514-0610 | 2015-03-02 |
| 1184854689 | Mountains Edge Counseling, LLC | Early Intervention Provider Agency | 406 W Loucks St, Sheridan, WY 82801-4129 | 2009-07-17 |
| 1104062314 | Equality State Infection Foundation | Early Intervention Provider Agency | 5810 E 2nd St Ste 200, Casper, WY 82609-4330 | 2008-12-18 |
| 1407326051 | Child Development Center of Natrona Co | Early Intervention Provider Agency | 2020 E 12th St, Casper, WY 82601-4007 | 2018-11-27 |
| 1972822187 | La Services of Cheyenne Inc. | Early Intervention Provider Agency | 822 Rodeo Ave, Cheyenne, WY 82009-1041 | 2010-05-27 |
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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.