ADAM WENZEL (NPI# 1003201898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003201898 |
| Entity Type | Individual |
| Full Name | ADAM WENZEL |
| Practice Address |
101 W 2nd St Duluth MN 55802 |
| Mailing Address |
620 N 23rd Ave W Duluth MN 55806-1524 |
| Practice Telephone | 2187243122 |
| Mailing Telephone | 3203368677 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1522 E Superior St, Duluth, MN 558121634 | 2187243122 |
| Street Address |
101 W 2ND ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316570823 | Connie Rabideaux | Social Worker | 101 W 2nd St, Duluth, MN 55802-2086 | 2020-02-13 |
| 1316413982 | Dannillya Sperry | Behavior Technician | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-10-22 |
| 1750857595 | Chelsea Weber | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-10-19 |
| 1336621085 | Daniel Rossow | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-08-29 |
| 1437636297 | Marie Gibson Adebisi | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-07-25 |
| 1194211268 | Jacob Eric Nustad-peluso | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-07-02 |
| 1275029357 | Cassidy Henriques | Behavior Technician | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-07-02 |
| 1508350703 | Claire Nicole Ruegemer | Counselor | 101 W 2nd St, Duluth, MN 55802 | 2018-06-20 |
| 1245724186 | Stacey Kay Flom | Counselor | 101 W 2nd St, Duluth, MN 55802 | 2018-06-14 |
| 1336639137 | Lydia Walker | Counselor | 101 W 2nd St, Duluth, MN 55802 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| 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 |
|---|---|---|---|---|
| 1497355416 | Devonta Markeice Lancaster | Behavior Technician | 2200 Satellite Blvd Apt 701, Duluth, GA 30097-4018 | 2020-10-28 |
| 1487254637 | Leatrice Byers | Behavior Technician | 3355 Mcdaniel Rd Apt 4308, Duluth, GA 30096-8629 | 2020-10-27 |
| 1386241578 | Carlos Manuel Irizar | Behavior Technician | 3355 Mcdaniel Rd Apt 17305, Duluth, GA 30096-8681 | 2020-10-01 |
| 1518573476 | Avery Rose Warner | Behavior Technician | 3475 Romulus Dr, Duluth, GA 30097-3443 | 2020-09-16 |
| 1336761816 | Jacqueline Smith | Behavior Technician | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-07 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1568009686 | Isabella Kathryn Johnson | Behavior Technician | 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912 | 2019-12-09 |
| 1124581947 | Linnea Mary Moore | Behavior Technician | 1725 Kenwood Ave Apt 110, Duluth, MN 55811-2267 | 2019-04-09 |
| 1508355116 | Sheri Lynn Keppers | Behavior Technician | 828 E 7th St, Duluth, MN 55805-1444 | 2018-05-09 |
| Find all providers in DULUTH | ||||
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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.