PEACH TREE ACADEMY (NPI# 1063924330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063924330 |
| Entity Type | Organization |
| Organization Name | PEACH TREE ACADEMY |
| Practice Address |
1039 Stoneridge Dr Bozeman MT 59718-7056 |
| Mailing Address |
1039 Stoneridge Dr Ste 5 Bozeman MT 59718-7056 |
| Practice Telephone | 1406860584 |
| Mailing Telephone | 4066246599 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | KRISTI EKSTROM (OWNER) |
| Authorized Official Telephone | 4066246599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1039 STONERIDGE DR |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-7056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407333438 | Jessica K. Davis | Social Worker | 1039 Stoneridge Dr, Bozeman, MT 59718 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| 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 |
|---|---|---|---|---|
| 1194182899 | Cristin Peiffer | Behavioral Analyst | 554 Pronghorn Trl Ste A, Bozeman, MT 59718-6082 | 2016-01-26 |
| 1750691218 | Shawna Heiser | Behavioral Analyst | 1122 E Main St Ste 4, Bozeman, MT 59715-3888 | 2010-10-19 |
| 1194364992 | Keshtisha Sunde | Behavioral Analyst | 1039 Stoneridge Dr Ste 5, Bozeman, MT 59718-7056 | 2019-12-27 |
| 1154966950 | Patrick Pinkerton | Behavioral Analyst | 1315 E Main St, Bozeman, MT 59715-3850 | 2019-11-15 |
| 1730724709 | Lainey Rena Geigle | Behavioral Analyst | 1315 E Main St, Bozeman, MT 59715-3850 | 2019-11-13 |
| 1679129712 | Anna Hasbrouck | Behavioral Analyst | 1039 Stoneridge Dr Ste 5, Bozeman, MT 59718-7056 | 2019-08-14 |
| 1598322893 | Jennifer Erin De Raoulx | Behavioral Analyst | 1315 E Main St, Bozeman, MT 59715-3850 | 2019-05-22 |
| 1588160337 | Melissa Hanson | Behavioral Analyst | 1315 E Main St, Bozeman, MT 59715-3850 | 2018-04-02 |
| 1750657433 | Renae Jones | Behavioral Analyst | 1811 W Koch St, Bozeman, MT 59715-4127 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847779 | Kimberly Kay Bredberg-beaner | Behavioral Analyst | 2200 Box Elder St Ste 151, Miles City, MT 59301-5930 | 2020-10-08 |
| 1851918296 | Candice Nichole Maurer | Behavioral Analyst | 202 E Lewis St, Livingston, MT 59047-3115 | 2020-07-01 |
| 1316561830 | Community, Counseling & Correctional Services, Inc. | Behavioral Analyst | 471 E Mercury St, Butte, MT 59701-1906 | 2020-06-01 |
| 1023574670 | Lyn Marie Ireland | Behavioral Analyst | 1725 Mt Highway 35, Kalispell, MT 59901-2464 | 2019-02-19 |
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1326538869 | Paul Duncil Jr. | Behavioral Analyst | 6088 Hazelwood Dr, Billings, MT 59106-9547 | 2018-05-10 |
| 1568960300 | Shelley Renee Burbank | Behavioral Analyst | 4390 Vesta Dr, Helena, MT 59602-6577 | 2018-01-26 |
| 1760905970 | Abigail L Mccromick-hinojosa | Behavioral Analyst | 407 E King Street East, Helena, MT 59635 | 2017-07-19 |
| 1790224988 | Big Sky Behavioral Therapy, Pllc. | Behavioral Analyst | 3170 Two Moons Rd., Big Sky, MT 59716-0771 | 2017-02-21 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| Find all providers with the same taxonomy | ||||
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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.