DEREK JAGGER BUDDIE-DAMON (NPI# 1134786064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134786064 |
| Entity Type | Individual |
| Full Name | DEREK JAGGER BUDDIE-DAMON |
| Practice Address |
54699 Hillside Rd Saint Ignatius MT 59865-8915 |
| Mailing Address |
Po Box 210 Saint Ignatius MT 59865-0210 |
| Practice Telephone | 4062740845 |
| Practice Fax Number | 4062043238 |
| Mailing Telephone | 4062104643 |
| Mailing Fax Number | 4062043238 |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2019-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
54699 HILLSIDE RD |
| City | SAINT IGNATIUS |
| State | MT |
| Zip Code | 59865-8915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007544 | Donald Paul Roberts | Counselor | 109 First Avenue, St. Ignatius, MT 59865 | 2019-05-03 |
| 1518521657 | Maria Grieco | Social Worker | 76 3rd Ave, St. Ignatius, MT 59865 | 2019-04-24 |
| 1801363239 | Julie A. Cross | Dental Hygienist | 1 Woodscocks Way, St. Ignatius, MT 59865 | 2018-10-24 |
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| 1063868743 | Natasha R. Sinclair | Registered Nurse | 308 Mission Dr., St. Ignatius, MT 59865 | 2016-05-11 |
| 1487067880 | Brenda Ferril | Chiropractor | 200 Mountain View St, St Ignatius, MT 59865 | 2014-06-04 |
| 1114248648 | Suzanne T Cannady | Pharmacist | #5 4th Ave E, Polson, MT 59865 | 2010-06-18 |
| 1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
| 1396974572 | Jennifer Van Wagoner | Dentist | 35401 Mission Dr, St. Ignatius, MT 59865 | 2009-07-08 |
| 1124211297 | Gordon F Duff Gerrish | Psychologist | 56850 Fish Hatchery Road, St Ignatius, MT 59865 | 2007-08-22 |
| Find all providers in zip 59865 | ||||
| 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 |
|---|---|---|---|---|
| 1346847779 | Kimberly Kay Bredberg-beaner | Behavioral Analyst | 2200 Box Elder St Ste 151, Miles City, MT 59301-5930 | 2020-10-08 |
| 1851918296 | Candice Nichole Maurer | Behavioral Analyst | 202 E Lewis St, Livingston, MT 59047-3115 | 2020-07-01 |
| 1316561830 | Community, Counseling & Correctional Services, Inc. | Behavioral Analyst | 471 E Mercury St, Butte, MT 59701-1906 | 2020-06-01 |
| 1023574670 | Lyn Marie Ireland | Behavioral Analyst | 1725 Mt Highway 35, Kalispell, MT 59901-2464 | 2019-02-19 |
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1326538869 | Paul Duncil Jr. | Behavioral Analyst | 6088 Hazelwood Dr, Billings, MT 59106-9547 | 2018-05-10 |
| 1568960300 | Shelley Renee Burbank | Behavioral Analyst | 4390 Vesta Dr, Helena, MT 59602-6577 | 2018-01-26 |
| 1760905970 | Abigail L Mccromick-hinojosa | Behavioral Analyst | 407 E King Street East, Helena, MT 59635 | 2017-07-19 |
| 1790224988 | Big Sky Behavioral Therapy, Pllc. | Behavioral Analyst | 3170 Two Moons Rd., Big Sky, MT 59716-0771 | 2017-02-21 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| Find all providers with the same taxonomy | ||||
| City | SAINT IGNATIUS |
| Zip Code | 59865 |
Please comment or provide details below to improve the information on DEREK JAGGER BUDDIE-DAMON.
| 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.