CHEYENNE MICHELLE MICKELSON (NPI# 1053836338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053836338 |
| Entity Type | Individual |
| Full Name | CHEYENNE MICHELLE MICKELSON |
| Credential | BCBA |
| Practice Address |
2001 Hoyt St Lakewood CO 80215-1639 |
| Mailing Address |
7265 W Center Ave Unit 321 Lakewood CO 80226-2769 |
| Practice Telephone | 3037591192 |
| Mailing Telephone | 2623254032 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2020-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-20-44715 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 265 S Harlan St, Lakewood, CO 802262261 | 7202721289 |
| Street Address |
2001 HOYT ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80215-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275089765 | Hailey Gould | Behavioral Analyst | 2001 Hoyt St, Lakewood, CO 80215-1639 | 2016-08-25 |
| 1174139273 | Danielle Vinson | Assistant Behavior Analyst | 2001 Hoyt St, Lakewood, CO 80215-1639 | 2020-09-23 |
| 1518571934 | Emma Louise Kobyluch | Occupational Therapist | 2001 Hoyt St, Lakewood, CO 80215-1639 | 2020-09-02 |
| 1144847906 | Anne E Sheerin | Behavioral Analyst | 2001 Hoyt St, Lakewood, CO 80215-1639 | 2020-06-28 |
| 1477179000 | Kayla Moore | Behavioral Analyst | 2001 Hoyt St, Lakewood, CO 80215-1639 | 2020-06-19 |
| 1093211682 | Melissa Marks | Behavioral Analyst | 2001 Hoyt St, Lakewood, CO 80215-1639 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1235646209 | Ashley Wiersma | Social Worker | 9485 W. Colfax Ave, Lakewood, CO 80215 | 2017-12-29 |
| 1619480563 | Amy Christine Ladebue | Counselor | 2596 Moore St, Lakewood, CO 80215 | 2017-11-14 |
| 1407374408 | Carly Young | Physician Assistant | 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 | 2017-08-30 |
| 1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
| 1194263251 | Daniela Rosenberg | Student in an Organized Health Care Education/Training Program | 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 | 2017-02-08 |
| 1033596747 | Autumn Grove | Physical Therapist | 11185 W. 6th Avenue, Lakewood, CO 80215 | 2015-05-01 |
| 1649690264 | Neil George Norton | Dentist | 9990 W. 26th Ave, Lakewood, CO 80215 | 2014-04-22 |
| 1366873820 | Whitney Anne Post | Counselor | 1439 Estes St., Lakewood, CO 80215 | 2013-12-10 |
| Find all providers in zip 80215 | ||||
| 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 |
|---|---|---|---|---|
| 1053911040 | Sara Kahan | Behavioral Analyst | 7 Burgundy Way, Lakewood, NJ 08701-4670 | 2020-10-28 |
| 1427657303 | Mollie M Sheehan | Behavioral Analyst | 410 Sheridan Blvd, Lakewood, CO 80226-8104 | 2020-10-21 |
| 1124627047 | David Rubinfeld | Behavioral Analyst | 207 1st St Apt 409, Lakewood, NJ 08701-3368 | 2020-10-21 |
| 1265049753 | Leap Therapy Services LLC | Behavioral Analyst | 775a Marlin Ave, Lakewood, NJ 08701-5424 | 2020-09-28 |
| 1831703834 | Rochel Wolofsky | Behavioral Analyst | 122 Williamsburg Ln, Lakewood, NJ 08701-1475 | 2020-09-07 |
| 1437762283 | Star Track Healthcare Services LLC | Behavioral Analyst | 236 Ridge Ave, Lakewood, NJ 08701-3448 | 2020-08-30 |
| 1073124897 | Attain Aba Mw LLC | Behavioral Analyst | 850 Towbin Ave, Lakewood, NJ 08701-5928 | 2020-08-14 |
| 1760090948 | Devorah Weinberg | Behavioral Analyst | 34 Sherie Ct, Lakewood, NJ 08701-1573 | 2020-07-14 |
| 1104443241 | Interact Therapy Services, LLC | Behavioral Analyst | 665 Princeton Ave Apt 201, Lakewood, NJ 08701-2899 | 2020-07-05 |
| 1174145734 | Teamcare Therapy LLC | Behavioral Analyst | 1771 Madison Ave Ste 8, Lakewood, NJ 08701-1267 | 2020-05-17 |
| Find all providers in LAKEWOOD | ||||
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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.