RAVEN SMALL (NPI# 1134683295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134683295 |
| Entity Type | Individual |
| Full Name | RAVEN SMALL |
| Practice Address |
3 Commercial Pl Schertz TX 78154-3102 |
| Mailing Address |
9314 Ryder Dr San Antonio TX 78254-2000 |
| Practice Telephone | 2104470039 |
| Mailing Telephone | 2104470039 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BACB | RBT-18-56410 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689040438 | Raven Small | Physical Therapist | 9225 University Blvd, Ste E2c, North Charleston, SC 29406-9149 | 2015-08-17 |
| Street Address |
3 COMMERCIAL PL |
| City | SCHERTZ |
| State | TX |
| Zip Code | 78154-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356903678 | Alexis Pritchett | Speech-Language Pathologist | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-07-08 |
| 1144881954 | Donitha Musgray | Behavior Technician | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-06-23 |
| 1568020642 | Douglas Robert Rakers | Behavior Technician | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-06-03 |
| 1548828940 | Maggie Donnelly | Behavior Technician | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-05-31 |
| 1649837014 | Vesta Rose Wolfe | Behavior Technician | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-05-21 |
| 1346806999 | Alyssa Mclean | Behavior Technician | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-05-18 |
| 1003470972 | Travis Walker Snyder | Behavior Technician | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-04-26 |
| 1083278956 | Jessica Neumayer | Behavior Technician | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-04-26 |
| 1275197477 | Ariana Leila Carranza | Behavior Technician | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-04-24 |
| 1457814238 | Erin M Adams | Behavior Technician | 3 Commercial Pl, Schertz, TX 78154-3102 | 2019-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229256 | Deann Fierro | Counselor | 3728 Hull Sreet, Schertz, TX 78154 | 2020-09-14 |
| 1467097949 | Fresenius Medical Care San Antonio, LLC | Clinic/Center | 1787 Fm 3009, Schertz, TX 78154 | 2019-11-08 |
| 1881237113 | Erica Lizet Scherzinger | Nurse Practitioner | 1205 N Sh 1604 Loop W Frontage Rd, San Antonio, TX 78154 | 2019-10-18 |
| 1831740752 | La'wanda Myers | Social Worker | 19315 Farm To Market Road 2252, Garden Ridge, TX 78154 | 2019-09-23 |
| 1467006619 | Vanessa Biesenbach | Behavior Technician | 133 Windy Meadows, Suite 101, Schertz, TX 78154 | 2019-07-26 |
| 1043874308 | Jessica Gail Rourke | Occupational Therapist | 5700 Schertz Parkway Ste 100, Schertz, TX 78154 | 2019-04-23 |
| 1750871729 | Jenna Kamaile Nurial Dacalio | Behavioral Analyst | 15620 York Lane, Selma, TX 78154 | 2018-05-15 |
| 1235630070 | Ginger Odom | Speech-Language Pathologist | 1600 Shady Brook, Schertz, TX 78154 | 2018-02-27 |
| 1295235588 | Timothy Marcus Egbuka | Pharmacist | 17115 Interstate 35 N Ste 123, Schertz, TX 78154 | 2018-02-14 |
| 1013423110 | Polite Transit LLC | Non-emergency Medical Transport (VAN) | 16222 Horse Brg, Selma, TX 78154 | 2017-12-27 |
| Find all providers in zip 78154 | ||||
| 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 |
|---|---|---|---|---|
| 1841807237 | Amie Joy Mitchell | Behavior Technician | 6051 Fm 3009 Ste 215, Schertz, TX 78154-3433 | 2020-09-29 |
| 1821620824 | Julianne Summer Hendrickson | Behavior Technician | 133 Windy Meadows Dr, Schertz, TX 78154-1539 | 2020-02-07 |
| 1073160842 | Sean Vanslycke | Behavior Technician | 133 Windy Meadows Dr Ste 101, Schertz, TX 78154-1543 | 2019-08-26 |
| 1467006619 | Vanessa Biesenbach | Behavior Technician | 133 Windy Meadows, Suite 101, Schertz, TX 78154 | 2019-07-26 |
| 1861992471 | Cynthia Ann Keeler | Behavior Technician | 2224 Oak Vly, Schertz, TX 78154-1974 | 2018-02-20 |
| 1245838994 | Syed Raza | Behavior Technician | 6051 Fm 3009, Schertz, TX 78154-3433 | 2020-10-14 |
| 1508464835 | Beverly A Rodriguez | Behavior Technician | 133 Windy Meadows Dr Ste 101, Schertz, TX 78154-1543 | 2020-10-09 |
| 1275140444 | Nakia Jones | Behavior Technician | 133 Windy Meadows Dr Ste 101, Schertz, TX 78154-1543 | 2020-09-30 |
| 1134736903 | Zhou Su | Behavior Technician | 133 Windy Meadows Dr, Schertz, TX 78154-1539 | 2020-09-25 |
| 1134733140 | Stephen Shipwash | Behavior Technician | 133 Windy Meadows Dr Ste 101, Schertz, TX 78154-1543 | 2020-09-07 |
| Find all providers in SCHERTZ | ||||
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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.