MEDCARE PEDIATRIC REHAB CENTER, LP (NPI# 1093213431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093213431 |
| Entity Type | Organization |
| Organization Name | MEDCARE PEDIATRIC REHAB CENTER, LP |
| Other Organization Name | MEDCARE ABA THERAPY |
| Practice Address |
12371 S Kirkwood Rd Stafford TX 77477-2836 |
| Practice Telephone | 7139959292 |
| Practice Fax Number | 2812070659 |
| Mailing Telephone | 7139959292 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Authorized Official Name | PAIGE KINKADE (CEO) |
| Authorized Official Telephone | 7139959292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| MedCare ABA Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
| 1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
| 1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
| 1982254355 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-09-17 |
| 1306407325 | Medcare Pediatric Rehab Center, Lp | Pediatrics | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-06-21 |
| 1114453404 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21210 Kingsland Blvd, Katy, TX 77450-5898 | 2017-05-04 |
| 1043455652 | Medcare Pediatric Rehab Center, Lp | Case Management | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2008-12-10 |
| 1811146517 | Medcare Pediatric Rehab Center, Lp | Counselor | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2008-09-17 |
| 1144277674 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477 | 2006-05-29 |
| Street Address |
12371 S KIRKWOOD RD |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982651410 | Medcare Pediatric Therapy, Lp | Home Health | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2006-05-29 |
| 1770199119 | Manassawee Rieck | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-09-21 |
| 1568072080 | Tyler Yvonne Hoke | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-08-10 |
| 1477174498 | Rise Aba Center LLC | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1093336018 | Rise Home Health LLC | Home Health | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1275154296 | Rise Staffing LLC | Nursing Care | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1811523236 | Mia Holder | Behavioral Analyst | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-03-17 |
| 1902431513 | Chelsea Lim | Occupational Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-03-04 |
| 1366075905 | Mary Valicek | Occupational Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-02-21 |
| 1467085720 | Joy F Olurebi | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| 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 |
|---|---|---|---|---|
| 1639702491 | Rita Anne Martinez | Behavioral Analyst | 8 Brandons Blf, Stafford, VA 22554-5300 | 2020-02-19 |
| 1962032508 | Angel Mack | Behavioral Analyst | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-01-23 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1629555818 | Yi Hsuan Dorothy Lu | Behavioral Analyst | 11925 Southwest Fwy Ste 3b, Stafford, TX 77477-2300 | 2018-07-20 |
| 1356828545 | Jocelyn Edith Gomez | Behavioral Analyst | 11925 Southwest Fwy Unit 3b, Stafford, TX 77477-2300 | 2018-07-20 |
| 1154822732 | Celia Kellerman | Behavioral Analyst | 30 Fulton Dr, Stafford, VA 22554-7827 | 2018-02-28 |
| 1902304223 | Teena Castleberry | Behavioral Analyst | 10435 Greenbough Dr Ste 410, Stafford, TX 77477-5000 | 2018-02-01 |
| 1700394038 | Verna Jasmine Birch | Behavioral Analyst | 35 Walpole St Ste 207, Stafford, VA 22554-6546 | 2018-01-22 |
| 1568978310 | Talifa Bailey | Behavioral Analyst | 167 Short Branch Rd, Stafford, VA 22556-4642 | 2017-12-15 |
| Find all providers in STAFFORD | ||||
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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.