KATHERINE BRUCKNER (NPI# 1992277149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992277149 |
| Entity Type | Individual |
| Full Name | KATHERINE BRUCKNER |
| Credential | MED |
| Practice Address |
693 Leesville Rd Lynchburg VA 24502-2828 |
| Mailing Address |
4520 Golf Park Dr Lynchburg VA 24502-1008 |
| Practice Telephone | 4342005750 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0133001085 | VA | Behavioral Health & Social Service Providers |
| Street Address |
693 LEESVILLE RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938972 | Ellis M. Karr | Social Worker | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2005-08-03 |
| 1376144931 | Nelly Addo | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-11-02 |
| 1366057531 | Margaret Rose Hybl | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-09-14 |
| 1427662261 | Samantha Clingenpeel | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-31 |
| 1952915712 | Jessica Stinnett Cunningham | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-31 |
| 1346850948 | Nikki Rice | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-07 |
| 1912516642 | Stephannie Malone | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-07-29 |
| 1265041552 | Jeffrey Emmett Mccurry | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-07-23 |
| 1164044863 | Amanda Mae Dinkle | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-05-15 |
| 1366063026 | Heather Ware | Behavioral Analyst | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| 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 |
|---|---|---|---|---|
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1487022075 | Amy Dalton Page | Behavioral Analyst | 2486 Rivermont Ave, Lynchburg, VA 24503-1549 | 2015-09-13 |
| 1790162634 | Damien Murtagh | Behavioral Analyst | 20261 Lynchburg Hwy, Lynchburg, VA 24502-3978 | 2015-04-29 |
| 1962751412 | Sarah Torres | Behavioral Analyst | 118 Cornerstone St, Lynchburg, VA 24502-5346 | 2012-08-30 |
| 1528332640 | Brian Myers | Behavioral Analyst | 1917 Rivermont Ave, Lynchburg, VA 24503-4118 | 2012-03-07 |
| 1093314585 | Erin Marshall | Behavioral Analyst | 18697 Forest Rd, Lynchburg, VA 24502-4363 | 2020-10-26 |
| 1689287278 | Nicole Diane Overstreet | Behavioral Analyst | 118 Cornerstone St, Lynchburg, VA 24502-5346 | 2020-08-25 |
| 1043832587 | Stacie M Swanson | Behavioral Analyst | 18697 Forest Rd, Lynchburg, VA 24502-4363 | 2020-05-07 |
| 1053933507 | Stephany Thompson | Behavioral Analyst | 18697 Forest Rd, Lynchburg, VA 24502-4363 | 2020-05-07 |
| 1407478944 | Joshua Sean Rigney-trout | Behavioral Analyst | 18697 Forest Rd, Lynchburg, VA 24502-4363 | 2020-05-07 |
| Find all providers in LYNCHBURG | ||||
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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.