LISA KAY PHILLIPS (NPI# 1184255580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184255580 |
| Entity Type | Individual |
| Full Name | LISA KAY PHILLIPS |
| Practice Address |
22969 N Riverfront Dr Mankato MN 56001-5992 |
| Practice Telephone | 5079955510 |
| Mailing Telephone | 5079955510 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590239 | Lisa Phillips | Rehabilitation Counselor | 6629 Spring Mill Cir, Baltimore, MD 21207-5579 | 2018-09-04 |
| 1407342298 | Lisa Phillips | Acupuncturist | 4995 Golden Foothill Pkwy Ste 5, El Dorado Hills, CA 95762-9645 | 2018-07-05 |
| 1184942542 | Lisa Cole Phillips | Massage Therapist | 5000 Back Square Dr Ste A2, Owensboro, KY 42301-7411 | 2010-05-10 |
| 1770791956 | Lisa Datta Phillips | Dentist | 14422 Orchard Pkwy, Ste 200, Westminster, CO 80023-9273 | 2007-05-19 |
| 1417172362 | Lisa Kay Phillips | Counselor | 120 N Market St, Oskaloosa, IA 52577-2827 | 2007-04-16 |
| 1265552855 | Lisa Ann Phillips | Specialist | 199 Hoffman Ave, Auburn, CA 95603-4209 | 2007-03-29 |
| 1942358346 | Lisa Phillips | Speech-Language Pathologist | 1048 Lancaster St, Leominster, MA 01453-4559 | 2007-01-08 |
| 1376610154 | Lisa Marie Phillips | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2006-11-29 |
| 1497378269 | Lisa Phillips | Social Worker | 1348 Bainbridge St, Philadelphia, PA 19147-1810 | 2020-05-27 |
| 1578102570 | Lisa Phillips | Dietitian, Registered | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-12-23 |
| Street Address |
22969 N RIVERFRONT DR |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| 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 |
|---|---|---|---|---|
| 1043840788 | Hannah Marie Oudekerk | Behavior Technician | 306 Meadow Woods Dr, Mankato, MN 56001-8959 | 2020-01-22 |
| 1548800238 | Riley James Sandvig | Behavior Technician | 150 Briargate Rd Apt E3, Mankato, MN 56001-5031 | 2020-01-09 |
| 1366009870 | Lauren Martone | Behavior Technician | 220 E Main St Ste 1, Mankato, MN 56001-3574 | 2019-05-21 |
| 1952908857 | Maci Marie Surat | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-10-04 |
| 1639784507 | Taylor Marie Montbriand | Behavior Technician | 44 Good Counsel Dr, Mankato, MN 56001-6599 | 2020-09-09 |
| 1063023596 | Maria Willner | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-08-10 |
| 1407466642 | Rebekah Kolstad | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-08-03 |
| 1871102863 | Marissa Sue Hamilton | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-07-27 |
| 1952919672 | Ellie Marie Bungum | Behavior Technician | 501 Madison Ave, Mankato, MN 56001 | 2020-07-20 |
| 1497373450 | Eve Mackenzie Bleick | Behavior Technician | 1720 Bassett Dr, Mankato, MN 56001-6569 | 2020-07-07 |
| Find all providers in MANKATO | ||||
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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.