AUDRA FOWLER (NPI# 1033764477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033764477 |
| Entity Type | Individual |
| Full Name | AUDRA FOWLER |
| Practice Address |
4101 Angelus St Paragould AR 72450-2523 |
| Practice Telephone | 8705685195 |
| Mailing Telephone | 8705685195 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
4101 ANGELUS ST |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346427549 | Miranda L Cavaness | Counselor | 4101 Angelus St, Paragould, AR 72450 | 2008-01-30 |
| 1265045314 | Amanda Anderson | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-28 |
| 1457964512 | Jennifer Mccullar | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-28 |
| 1689287716 | Anna Lebleu | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-28 |
| 1386257434 | Brandon Tansil | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-28 |
| 1255944583 | Toni Walker | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-26 |
| 1497367643 | Kelcie Greene | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-19 |
| 1093327256 | Janell Scribner | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-19 |
| 1881206324 | Kristen Trivitt | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-17 |
| 1679184394 | Lorie Todd | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| 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 |
|---|---|---|---|---|
| 1265786966 | Belinda Jayne Baxley | Behavior Technician | 830 Mill St, Paragould, AR 72450-2398 | 2012-11-01 |
| 1265045314 | Amanda Anderson | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-28 |
| 1457964512 | Jennifer Mccullar | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-28 |
| 1689287716 | Anna Lebleu | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-28 |
| 1386257434 | Brandon Tansil | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-28 |
| 1255944583 | Toni Walker | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-26 |
| 1497367643 | Kelcie Greene | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-19 |
| 1093327256 | Janell Scribner | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-19 |
| 1881206324 | Kristen Trivitt | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-17 |
| 1679184394 | Lorie Todd | Behavior Technician | 4101 Angelus St, Paragould, AR 72450-2523 | 2020-08-14 |
| Find all providers in PARAGOULD | ||||
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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.