KATRINA VERHAGEN (NPI# 1891302196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891302196 |
| Entity Type | Individual |
| Full Name | KATRINA VERHAGEN |
| Practice Address |
1499 6th St Green Bay WI 54304-2252 |
| Practice Telephone | 9204976161 |
| Practice Fax Number | 9204980476 |
| Mailing Telephone | 9204976161 |
| Mailing Fax Number | 9204980476 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1499 6TH ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869588 | Innovative Counseling Inc | Community/Behavioral Health | 1499 6th St, Innovative Counseling Inc, Green Bay, WI 54304-2252 | 2007-01-22 |
| 1134733595 | Kayla Testroete | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-09-03 |
| 1609485846 | Taylor Beadles | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-23 |
| 1053938142 | Tianna Abts | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-06 |
| 1447886635 | Rachel Gregory | Social Worker | 1499 6th St, Green Bay, WI 54304-2252 | 2020-03-19 |
| 1326688466 | Kristie Durst | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-01-07 |
| 1659915130 | Claire Schrier | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1285278630 | Nicholas Hugo | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1801439336 | Elizabeth Oberndorfer | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| 1073156501 | Valyssa Biese | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093118317 | Brittany Leigh-byrne Cahill | Behavioral Analyst | 986 Lakeview Dr, Green Bay, WI 54313-8818 | 2014-10-01 |
| 1609485846 | Taylor Beadles | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-23 |
| 1821654971 | Robyn Albright | Behavioral Analyst | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2019-05-14 |
| 1275098550 | Jennifer Kerelko | Behavioral Analyst | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2019-01-31 |
| 1588139323 | Carly Preissner | Behavioral Analyst | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2018-10-08 |
| 1285117333 | Jessica June Demeuse | Behavioral Analyst | 986 Lakeview Dr, Green Bay, WI 54313-8818 | 2018-09-13 |
| 1114416047 | Shantel Crownover | Behavioral Analyst | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2018-05-07 |
| 1205335171 | Kelly J Smith | Behavioral Analyst | 986 Lakeview Dr, Green Bay, WI 54313-8818 | 2018-02-06 |
| 1669982443 | Jamee Buck | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2017-10-05 |
| 1619400850 | Tamara Mae Kurtz | Behavioral Analyst | 986 Lakeview Dr, Green Bay, WI 54313-8818 | 2017-04-05 |
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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.