HALEY KATHLEEN DIANE ROSE (NPI# 1194231696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194231696 |
| Entity Type | Individual |
| Full Name | HALEY KATHLEEN DIANE ROSE |
| Practice Address |
300 N 18th St Phoenix AZ 85006-4103 |
| Mailing Address |
3851 N 28th St Apt 22 Phoenix AZ 85016-6840 |
| Practice Telephone | 6023408717 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477108215 | Haley Rose | Registered Nurse | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2019-08-08 |
| 1972155240 | Haley Rose | Occupational Therapist | 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 | 2019-07-16 |
| 1568024917 | Haley Elizabeth Rose | Physician Assistant | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-07-06 |
| Street Address |
300 N 18TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689741357 | Southwest Autism Research and Resource Center | Clinic/Center | 300 N 18th St, Phoenix, AZ 85006-4103 | 2006-11-29 |
| 1912511197 | Elizabeth Anne Johnson | Behavioral Analyst | 300 N 18th St, Phoenix, AZ 85006-4103 | 2020-09-03 |
| 1497253652 | Kelsey Erdmann | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-23 |
| 1679081087 | Monique Enjoli Auger | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-19 |
| 1831607357 | Amy Marie Clark | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-18 |
| 1164930699 | Essence A Townsend | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-18 |
| 1952819518 | Silvia Dergal | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-17 |
| 1518475458 | Lauren Musselman | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-12 |
| 1235646357 | Sienna Vangelder | Behavioral Analyst | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-10 |
| 1629585864 | Kelsee Mullen | Behavioral Analyst | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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] |
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|---|---|---|---|---|
| 1215538806 | Life N Love Wellness Inc | Behavior Technician | 4050 E Cotton Center Blvd Ste 77, Phoenix, AZ 85040-8865 | 2020-11-02 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1023629235 | Empowerment Family Care Inc | Behavior Technician | 6918 S 37th Dr, Phoenix, AZ 85041-6160 | 2020-08-11 |
| 1134744360 | A Path To A New World LLC | Behavior Technician | 11242 N 19th Ave Ste 24, Phoenix, AZ 85029-4857 | 2020-06-12 |
| 1073136719 | Closel Defonse | Behavior Technician | 7812 W Wood Ln, Phoenix, AZ 85043-1426 | 2020-05-28 |
| 1083236723 | True Hand Behavioral Agency | Behavior Technician | 7631 W Globe Ave, Phoenix, AZ 85043-1679 | 2020-05-16 |
| 1225662562 | Vanessa Riviera Delgado | Behavior Technician | 16431 N 33rd Dr, Phoenix, AZ 85053-2902 | 2020-02-25 |
| 1285273789 | Sandy Salcido | Behavior Technician | 4710 North 108th Ave, Phoenix, AZ 85037-5472 | 2019-12-31 |
| 1568001402 | Empowerment Family Care Inc 2 | Behavior Technician | 8729 W Catalina Dr, Phoenix, AZ 85037-3207 | 2019-12-23 |
| 1063050177 | Fight4life Incorporated | Behavior Technician | 4411 S 40th St, Phoenix, AZ 85040-2950 | 2019-12-19 |
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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.