IAN CONNOR CAMPBELL (NPI# 1932661097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932661097 |
Entity Type | Individual |
Full Name | IAN CONNOR CAMPBELL |
Credential | AS , RBT |
Practice Address |
2427 Russellville Rd Bowling Green KY 42101-3980 |
Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
Practice Telephone | 2709367472 |
Mailing Telephone | 8553240885 |
Enumeration Date | 2019-04-05 |
Last Update Date | 2019-04-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-18-65953 | KY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | RBT CERTIFICATE | RBT-18-65953 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174051429 | Ian Campbell | Physical Therapist | 2195 W Hill Rd, Boise, ID 83702-0622 | 2017-05-31 |
1356461669 | Ian Tadashi Campbell | Pharmacist | 80 Empire Dr, Lake Forest, CA 92630-2244 | 2007-03-30 |
1447868930 | Ian Christopher Campbell | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2020-07-21 |
1154875995 | Ian Campbell | Physical Therapist | 9225 University Blvd, Ste E2c, North Charleston, SC 29406-9149 | 2016-08-10 |
1215387022 | Ian Morgan Campbell | Pediatrics | 3401 Civic Center Blvd, 9nw, Room 55, Philadelphia, PA 19104-4319 | 2016-06-13 |
1508258492 | Ian Lawrence Campbell | Psychologist | 8915 Sw Center St, Tigard, OR 97223-6307 | 2015-03-02 |
1841553617 | Ian Sheppard Campbell | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2012-06-18 |
1174846893 | Ian Anthony Campbell | Pharmacist | 1590 S Congress Ave, West Palm Beach, FL 33406-5957 | 2010-03-09 |
1144464801 | Ian Campbell | Radiology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2009-04-26 |
Street Address |
2427 RUSSELLVILLE RD |
City | BOWLING GREEN |
State | KY |
Zip Code | 42101-3980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164809422 | Nicolas Alan Houck | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2015-05-06 |
1669070173 | Kevin Serrano Nguyen | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-16 |
1013515527 | Elinor Ames Fielden | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-16 |
1023615960 | Tyler Travis Brimmer | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-05 |
1598362485 | Mark Stephen Robards | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-05 |
1346847407 | Madelyn Nicole Bynes | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-02 |
1598372039 | Kaitlyn Hope Crawford | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-09-29 |
1891302410 | Paige Elisha Hall | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-09-28 |
1932719440 | Keana Denise Evans | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-08-10 |
1437769346 | Mackayla Quinn Rose | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
Find all providers in zip 42101 |
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 |
---|---|---|---|---|
1073092060 | Hizareth Linares | Behavior Technician | 1711 Destiny Ln Ste 106&107, Bowling Green, KY 42104-1066 | 2018-08-09 |
1255833893 | Janet Applin | Behavior Technician | 1711 Destiny Ln Ste And107, Bowling Green, KY 42104-1066 | 2018-02-28 |
1154847994 | Darrielle Williams | Behavior Technician | 327 S Summit St, Bowling Green, OH 43402-3018 | 2017-08-14 |
1952826570 | April London | Behavior Technician | 1711 Destiny Ln Ste 106, Bowling Green, KY 42104-1067 | 2017-08-04 |
1669070173 | Kevin Serrano Nguyen | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-16 |
1013515527 | Elinor Ames Fielden | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-16 |
1023615960 | Tyler Travis Brimmer | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-05 |
1598362485 | Mark Stephen Robards | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-05 |
1346847407 | Madelyn Nicole Bynes | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-10-02 |
1598372039 | Kaitlyn Hope Crawford | Behavior Technician | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-09-29 |
Find all providers in BOWLING GREEN |
City | BOWLING GREEN |
Zip Code | 42101 |
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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.