COURTNEY M PETERSEN (NPI# 1891244018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891244018 |
Entity Type | Individual |
Full Name | COURTNEY M PETERSEN |
Practice Address |
16902 Camden Ave Omaha NE 68116-8023 |
Practice Telephone | 4026812100 |
Mailing Telephone | 4026812100 |
Enumeration Date | 2016-09-28 |
Last Update Date | 2016-09-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730184375 | Courtney Slocum Petersen | Physician Assistant | 750 Washington St # 178, Tufts Medical Center, Boston, MA 02111-1526 | 2005-06-20 |
1215121991 | Courtney J Petersen | Speech-Language Pathologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2007-09-05 |
Street Address |
16902 CAMDEN AVE |
City | OMAHA |
State | NE |
Zip Code | 68116-8023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992311997 | Paul Hoppmann | Physical Therapist | 3537 N 162nd Ct, Omaha, NE 68116 | 2020-09-16 |
1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
1912564212 | Vision Specialists of Omaha LLC | Optometrist | 3606 N 156th Street, Suite 104, Omaha, NE 68116 | 2019-05-22 |
1619450061 | Focus Therapy A West Omaha Counseling Practice | Counselor | 3520 N 163rd Plaza Suite 6, Omaha, NE 68116 | 2018-09-12 |
1952831570 | Adam Freeman | Chiropractor | 3605 North 147th Street, Suite 106, Omaha, NE 68116 | 2017-06-15 |
1407394042 | Chiropractic Group of Nebraska LLC | Chiropractor | 3727 N 153rd St, Omaha, NE 68116 | 2017-02-02 |
1992177083 | Emily Gunderson | Speech-Language Pathologist | 14850 Laurel Ave, Omaha, NE 68116 | 2015-10-28 |
1720478647 | Chelsea Hunter | Social Worker | 16101 Evans Street, Omaha, NE 68116 | 2015-01-30 |
1982988432 | Andrew Steve Huang-pacheco | Pediatrics | 3306 N 164th St, Omaha, NE 68116 | 2011-10-03 |
1073831996 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2814 S 169 St, Omaha, NE 68116 | 2010-05-17 |
Find all providers in zip 68116 |
Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1326572967 | Kyleigh Bromen | Assistant Behavior Analyst | 900 S 74th Plz Ste 102, Omaha, NE 68114-4667 | 2017-04-19 |
1437696051 | Kally Sorensen | Assistant Behavior Analyst | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2017-01-20 |
1871079236 | Lydia Danielle Nicolaus | Assistant Behavior Analyst | 900 S 74th Plz Ste 102, Omaha, NE 68114-4667 | 2018-07-18 |
1184132169 | Steffi Read | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2018-01-12 |
1407362965 | Victoria Wageman | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2017-12-20 |
1386150845 | Jaclyn Barron | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2017-12-20 |
1104331503 | Amanda Denier | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2017-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902399595 | Aaron Martinez | Assistant Behavior Analyst | 20 Vince Dr, Bennet, NE 68317-2418 | 2018-06-08 |
1497294698 | Gretchen C Hutson | Assistant Behavior Analyst | 1012 Lincoln Rd Ste B, Bellevue, NE 68005-3102 | 2017-02-21 |
1457959009 | Madden Sharrett | Assistant Behavior Analyst | 1145 High St, Lincoln, NE 68502-4440 | 2020-10-15 |
1316545866 | Treana Anderson | Assistant Behavior Analyst | 1145 High St, Lincoln, NE 68502-4440 | 2020-10-15 |
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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.