AMANDA RENEE SORENSEN (NPI# 1033404116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033404116 |
| Entity Type | Individual |
| Full Name | AMANDA RENEE SORENSEN |
| Credential | M.A., BCBA |
| Practice Address |
7011 Campus Dr Ste 205 Colorado Springs CO 80920 |
| Mailing Address |
7011 Campus Dr Ste 205 Colorado Springs CO 80920-3162 |
| Practice Telephone | 7194664809 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2019-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-23971 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7011 Campus Dr Ste 205, Colorado Springs, CO 80920 | 7194664809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194983056 | Amanda L Sorensen | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2008-05-28 |
| Street Address |
7011 CAMPUS DR STE 205 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796861 | Taylor Painter | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-10-02 |
| 1558968586 | Erik Sosa | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-10-02 |
| 1225635253 | Destinee Bates | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-10-02 |
| 1871100958 | Mackenna Bennett | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-09-23 |
| 1205443389 | Crystal Mason | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-09-23 |
| 1689281768 | Trevor Alvarado | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-09-23 |
| 1851908933 | Andrew Williams | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-09-23 |
| 1942810783 | Ariana Baldevia | Behavioral Analyst | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-08-06 |
| 1811506488 | Simone Watson | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-07-29 |
| 1861018608 | Michelle Ream | Behavior Technician | 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 | 2020-06-17 |
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|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| 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] |
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| 1609411958 | Colorado Springs Behavioral Services | Behavioral Analyst | 4330 Kincaid Ct, Colorado Springs, CO 80906-4366 | 2019-11-11 |
| 1790332302 | Rebekah Susan Andriano | Behavioral Analyst | 12665 Falcon Dr, Colorado Springs, CO 80908-3219 | 2019-08-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on AMANDA RENEE SORENSEN.
| 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.