ALLISON RAE BRUCKMAN (NPI# 1053932228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053932228 |
| Entity Type | Individual |
| Full Name | ALLISON RAE BRUCKMAN |
| Credential | RBT |
| Practice Address |
938 169th St # 2 Hammond IN 46324-2038 |
| Practice Telephone | 7734843119 |
| Mailing Telephone | 7734843119 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-66875 | IL | Behavioral Health & Social Service Providers |
| Street Address |
938 169TH ST # 2 |
| City | HAMMOND |
| State | IN |
| Zip Code | 46324-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174183024 | Northwest Indiana Hospital, LLC | General Acute Care Hospital | 7904 Cabela Dr., Hammond, IN 46324 | 2019-06-13 |
| 1679049779 | Secure Dental Viii | Dentist | 7905 Indianapolis Blvd, Indianan, IN 46324 | 2018-10-17 |
| 1710317615 | Christopher Keown-belous | Marriage & Family Therapist | 7030 Indianapolis Blvd, Hammond, IN 46324 | 2013-11-14 |
| 1316296114 | Planned Parenthood of Indiana Hammond | Clinic/Center | 7131 Indianapolis Blvd., Hammond, IN 46324 | 2012-09-07 |
| 1427343862 | Amanda Rose Popovich | Behavioral Analyst | 7110 Magoun Avenue, Hammond, IN 46324 | 2011-06-14 |
| 1588804751 | Tanesha Marnise Williams | Technician | 5831 Erie St, Hammond, IN 46324 | 2009-03-02 |
| 1417039652 | Debra Antoinette Petersen | Nurse Practitioner | 7131 Indianapolis Blvd, Hammond, IN 46324 | 2006-10-19 |
| 1568455467 | Elisabeth Cleary Shearon | Pathology | Alvero Clinical Laboratories, 3434 Interstate Plaza Dr, Hammond, IN 46324 | 2005-08-25 |
| 1578958278 | Aditya Shah | Family Medicine | 6920 Indianapolis Blvd, Hammond, IN 46324 | 2015-03-31 |
| 1770928509 | Hammond Dental Group LLC | Dentist | 6414 Calumet Ave, Hammond, IN 46324 | 2013-05-07 |
| Find all providers in zip 46324 | ||||
| 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 |
|---|---|---|---|---|
| 1710502729 | Armani Tamia Williams | Behavior Technician | 17587 Alack Dr, Hammond, LA 70403-0243 | 2020-06-15 |
| 1356998231 | Kameron Nicholas Jackson | Behavior Technician | 901 Pecan St Apt 52, Hammond, LA 70401-2380 | 2019-08-24 |
| 1043719339 | Ashleigh Marie Chiasson | Behavior Technician | 1250 Sw Railroad Ave Ste 130, Hammond, LA 70403-5013 | 2018-02-01 |
| 1336759117 | Chamaria White | Behavior Technician | 1250 Sw Railroad Ave, Hammond, LA 70403-5001 | 2020-08-05 |
| 1730711318 | Kristy Bolton | Behavior Technician | 1250 Sw Railroad Ave Ste 130, Hammond, LA 70403-5013 | 2020-02-11 |
| 1952941072 | Alva Elizabeth Allen | Behavior Technician | 1250 Sw Railroad Ave Ste 130, Hammond, LA 70403-5013 | 2020-01-07 |
| 1386283463 | Tyrenieshia Roberts | Behavior Technician | 1250 Sw Railroad Ave, Hammond, LA 70403-5001 | 2020-01-06 |
| 1477192623 | Jaquline Victoria Andry | Behavior Technician | 1250 Sw Railroad Ave Ste 130, Hammond, LA 70403-5013 | 2020-01-04 |
| 1669010153 | Taylor Lee | Behavior Technician | 1250 Sw Railroad Ave Ste 130, Hammond, LA 70403-5013 | 2019-12-15 |
| 1861038598 | Kadeijah Dalton | Behavior Technician | 1250 Sw Railroad Ave Ste 130, Hammond, LA 70403-5013 | 2019-11-18 |
| Find all providers in HAMMOND | ||||
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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.