KAILA XIMENA THATCHER


Address: 1720 Bassett Dr, Mankato, MN 56001-6569
Phone: 5076827100

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1011 Meadowlands Drive, Ste 1&2, White Bear Lake, MN 55127 5073227752

Office Location

Street Address 1720 BASSETT DR
City MANKATO
State MN
Zip Code 56001-6569

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City MANKATO
Zip Code 56001

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Dataset Information

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.

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