KAILA XIMENA THATCHER (NPI# 1093201147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093201147 |
Entity Type | Individual |
Full Name | KAILA XIMENA THATCHER |
Practice Address |
1720 Bassett Dr Mankato MN 56001-6569 |
Practice Telephone | 5076827100 |
Enumeration Date | 2018-07-02 |
Last Update Date | 2020-09-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1011 Meadowlands Drive, Ste 1&2, White Bear Lake, MN 55127 | 5073227752 |
Street Address |
1720 BASSETT DR |
City | MANKATO |
State | MN |
Zip Code | 56001-6569 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033716907 | Quinnlyn Karen Thompson | Technician, Other | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-10-05 |
1952908857 | Maci Marie Surat | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-10-04 |
1063023596 | Maria Willner | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-08-10 |
1407466642 | Rebekah Kolstad | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-08-03 |
1871102863 | Marissa Sue Hamilton | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-07-27 |
1992314256 | Alison Mary Kudrle | Technician, Other | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-07-23 |
1497373450 | Eve Mackenzie Bleick | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-07-07 |
1700403342 | Kortni Nicole Thompson | Technician, Other | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-06-30 |
1790301448 | Natali Ramirez | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-06-18 |
1598389108 | Abby Falgren | Technician, Other | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
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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 |
---|---|---|---|---|
1972112050 | Anne Gilbertson | Behavioral Analyst | 220 E Main St, Mankato, MN 56001-3574 | 2020-07-24 |
1467003442 | David Alejandro Moreno | Behavioral Analyst | 220 E Main St Ste 1, Mankato, MN 56001-3574 | 2019-09-22 |
1982168241 | Alex Langsjoen | Behavioral Analyst | 103 N Broad St, Mankato, MN 56001-3519 | 2019-01-30 |
1275097933 | Sarah Lynn Curran | Behavioral Analyst | 103 N Broad St, Mankato, MN 56001-3519 | 2019-01-28 |
1144784034 | Anna Marie Hagan | Behavioral Analyst | 103 N Broad St, Mankato, MN 56001-3519 | 2019-01-25 |
1154885283 | Megan Marie Schwab | Behavioral Analyst | 103 N Broad St, Mankato, MN 56001-3519 | 2019-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558933 | Ahmed Osman Abdi | Behavioral Analyst | 1113 E Franklin Ave Ste 111, Minneapolis, MN 55404-2978 | 2020-11-02 |
1427658749 | Teresa L Brenke | Behavioral Analyst | 436 5th Ave E, Shakopee, MN 55379-1534 | 2020-10-27 |
1548877053 | Nicholas David Restifo | Behavioral Analyst | 3090 Maple Dr, Prior Lake, MN 55372-2841 | 2020-09-29 |
1275144388 | Marissa Laurel Stordahl | Behavioral Analyst | 5654 Garden Hills Ln, Saint Cloud, MN 56301-3412 | 2020-08-12 |
1225646177 | Integrity Living Options, Inc. | Behavioral Analyst | 1121 Jackson St Ne Ste 113, Minneapolis, MN 55413-1637 | 2020-07-16 |
1699393371 | Fardowsa Mohamud Ismail | Behavioral Analyst | 3035 Eagandale Pl # 2103055, Eagan, MN 55121-1261 | 2020-07-09 |
1700401379 | Mckenzie Thorson | Behavioral Analyst | 7500 Highway 7 Apt 462, St Louis Park, MN 55426-4153 | 2020-06-10 |
1659994051 | Sufi Amin Mohamed | Behavioral Analyst | 3055 Old Highway 8 Ste 101f3055, Saint Anthony, MN 55418-2500 | 2020-05-20 |
1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
1548880628 | Ali Mudey Omar | Behavioral Analyst | 3055 Old Highway 8 Ste 101, St Anthony, MN 55418-2495 | 2020-04-20 |
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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.