MR. KYLE R NILSSON (NPI# 1144732355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144732355 |
| Entity Type | Individual |
| Full Name | MR. KYLE R NILSSON |
| Credential | A.S. |
| Practice Address |
2068 Evelyn Ave Memphis TN 38104-5416 |
| Practice Telephone | 9013084762 |
| Mailing Telephone | 9013084762 |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2068 EVELYN AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566999 | Up-ward Aba | Community/Behavioral Health | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2016-09-20 |
| 1053827048 | Carie Daniel | Behavior Technician | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2017-12-28 |
| 1578075792 | Jamesa Yvette Alston | Behavior Technician | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2017-10-27 |
| 1730691957 | Santimer D Ventura-toribio | Behavior Technician | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2017-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| 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 |
|---|---|---|---|---|
| 1851904809 | Claudia Webb | Behavior Technician | 3771 Poplar Ave, Memphis, TN 38111-6020 | 2020-08-28 |
| 1225641905 | Magda Lou | Behavior Technician | 1515 Mount Moriah Rd, Memphis, TN 38117-6701 | 2020-08-24 |
| 1629561337 | Sherika Ilean Starnes-patterson | Behavior Technician | 2940 N Harris Cir, Memphis, TN 38114-5011 | 2018-06-08 |
| 1659979581 | Chaserie Symone Lane | Behavior Technician | 3875 Tiger Paw St S, Memphis, TN 38152-3920 | 2020-10-13 |
| 1841897303 | Jouvanna Latifah Brame | Behavior Technician | 3771 Poplar Ave, Memphis, TN 38111-6020 | 2020-10-07 |
| 1740894955 | Lindsey Richelle Clark | Behavior Technician | 3720 Alumni Ave, Memphis, TN 38111-5914 | 2020-09-04 |
| 1346854619 | Amy Denise Coombs | Behavior Technician | 3771 Poplar Ave, Memphis, TN 38111-6020 | 2020-09-03 |
| 1972117489 | Brenda Guadalupe Pita | Behavior Technician | 1236 Cherrydale Cv, Memphis, TN 38111-8104 | 2020-09-02 |
| 1780292128 | Meghan Witt | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-07-22 |
| 1033727474 | Emily Cooper | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-07-22 |
| Find all providers in MEMPHIS | ||||
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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.