MS. JANIS M PEDRO (NPI# 1104064195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104064195 |
Entity Type | Individual |
Full Name | MS. JANIS M PEDRO |
Credential | LCSW |
Practice Address |
20 5th Ave Laurel MT 59044-2913 |
Mailing Address |
#20 5th Avenue Laurel MT 59044-9299 |
Practice Telephone | 3072725881 |
Mailing Telephone | 3072725881 |
Enumeration Date | 2009-01-28 |
Last Update Date | 2017-08-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
935 | MT | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-524 | WY | Behavioral Health & Social Service Providers |
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 1104064195 | 05 |
Street Address |
20 5TH AVE |
City | LAUREL |
State | MT |
Zip Code | 59044-2913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477171270 | Marji Cunningham | Nurse Practitioner | 1403 Hill Crest Ave, N/a, Laurel, MT 59044 | 2020-07-08 |
1104992908 | Robert Bruce Vannice | Family Medicine | 319 1st Ave, Laurel, MT 59044 | 2006-11-27 |
1376638304 | Sam R Pollock | Dentist | 15 Montana Ave, Laurel, MT 59044 | 2006-10-04 |
1932623923 | Timothy Polacheck | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044 | 2017-08-01 |
1700997608 | Jody Lynn Crowl | Dentist | 113 W Main St, Laurel, MT 59044 | 2006-08-31 |
1659389500 | Maurer Chiropractic PC | Chiropractor | 113 E Main St, Laurel, MT 59044 | 2006-08-04 |
1104152982 | Janeil E Anderson | Counselor | 1000 Rockfork Cir, Laurel, MT 59044-1848 | 2009-10-28 |
1245890201 | Angie Mitchell | Home Health | 714 7th Ave, Laurel, MT 59044-1922 | 2019-06-20 |
1912225061 | Carla A. Castro | Counselor | 918 2nd Ave, Laurel, MT 59044-2017 | 2010-05-13 |
1750339149 | Evergreen At Laurel, L.L.C. | Skilled Nursing Facility | 820 3rd Ave, Laurel, MT 59044-2023 | 2006-05-05 |
Find all providers in zip 59044 |
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 |
---|---|---|---|---|
1487254546 | Kenita Kayela Douglas | Behavior Technician | 8913 Matthews Ct, Laurel, MD 20708-2008 | 2020-10-28 |
1639784226 | Christi Fessenden | Behavior Technician | 6601 Mccahill Ter, Laurel, MD 20707-2733 | 2020-09-10 |
1619585700 | Ariana Raquel Cisneros | Behavior Technician | 8300 Pigeon Fork Ln, Laurel, MD 20724-2930 | 2020-07-15 |
1841818069 | Victoria Sharps | Behavior Technician | 8018 Nicky Ct, Laurel, MD 20723-1169 | 2020-07-14 |
1932722915 | Iyana Downie | Behavior Technician | 7021 Mayfair Rd, Laurel, MD 20707-5229 | 2020-05-25 |
1528689973 | Devonna Gaudet | Behavior Technician | 14730 4th St Apt 331, Laurel, MD 20707-3894 | 2020-04-27 |
1356980015 | Sarah Rose | Behavior Technician | 8767 Contee Rd., Apt 102, Laurel, MD 20708-1931 | 2019-12-29 |
1841834892 | Olivia Hird | Behavior Technician | 11326 Laurelwalk Dr, Laurel, MD 20708-3042 | 2019-11-03 |
1194369108 | Adalia Joanne Dominique | Behavior Technician | 10 Riverview Ct Apt 103, Laurel, MD 20707-4137 | 2019-11-01 |
1124675590 | Yolanda Cosby | Behavior Technician | 14220 W Side Blvd, Laurel, MD 20707-6226 | 2019-08-21 |
Find all providers in LAUREL |
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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.