JADE GERVAIS (NPI# 1194322529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194322529 |
Entity Type | Individual |
Full Name | JADE GERVAIS |
Practice Address |
721 Commerce Drive Woodbury MN 55129 |
Mailing Address |
6486 Bailey Rd Woodbury MN 55129-2527 |
Practice Telephone | 6514244000 |
Mailing Telephone | 6514109330 |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |
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 |
Street Address |
721 COMMERCE DRIVE |
City | WOODBURY |
State | MN |
Zip Code | 55129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720492671 | Stephanie Milz | Psychologist | 721 Commerce Drive, Woodbury, MN 55125 | 2014-06-19 |
1326648148 | Briana Angelique Swails | Behavior Technician | 721 Commerce Drive, Woodbury, MN 55125 | 2020-10-30 |
1013516046 | Rachel Marie Ecker | Behavior Technician | 721 Commerce Drive, Woodbury, MN 55125 | 2020-10-21 |
1477199628 | Rebecca Ann Zahr | Occupational Therapist | 721 Commerce Drive, Woodbury, MN 55125 | 2019-11-22 |
1306408463 | Alisha Lynn Martell | Speech-Language Pathologist | 721 Commerce Drive, Woodbury, MN 55125 | 2019-06-28 |
1548826852 | Angela Marie Buell | Social Worker | 721 Commerce Drive, Woodbury, MN 55125 | 2019-05-13 |
1376107482 | Catherine Madison | Occupational Therapist | 721 Commerce Drive, Woodbury, MN 55125 | 2019-04-24 |
1639635527 | Elise M Blahnik | Marriage & Family Therapist | 721 Commerce Drive, Woodbury, MN 55125 | 2019-02-15 |
1356807309 | Mary Pryor | Occupational Therapist | 721 Commerce Drive, Woodbury, MN 55125 | 2019-02-14 |
1659847234 | Danielle L Privratsky | Speech-Language Pathologist | 721 Commerce Drive, Woodbury, MN 55125 | 2018-10-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
1235588468 | Nathan Robert Mayernik | Physical Therapist | 4123 Radio Dr, Suite 100, Woodbury, MN 55129 | 2016-06-08 |
1699146035 | St. Therese of Woodbury, LLC | Skilled Nursing Facility | 7555 Bailey Road, Woodbury, MN 55129 | 2015-10-12 |
1548602865 | Monica Bajracharya | Internal Medicine | 9373 Compass Pointe Rd, Woodbury, MN 55129 | 2013-07-28 |
1730454752 | Amanda E Feeney | Physical Therapist | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2012-03-09 |
1104193762 | Minneapolis-st.paul Endodontics | Dentist | 10150 City Walk Dr Ste C, Woodbury, MN 55129 | 2011-11-28 |
1659502417 | Charles Goff Jr. | Marriage & Family Therapist | 1919 University Ave W Suite 200, St. Paul, MN 55129 | 2009-07-28 |
1497821391 | Kyle Riley Edlund | Dentist | 3060 Woodbury Drive, #b, Woodbury, MN 55129 | 2006-11-24 |
1902979206 | Robert Edgar Eng | Dentist | 3100 Woodbury Drive, Woodbury, MN 55129 | 2006-11-16 |
Find all providers in zip 55129 |
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 |
---|---|---|---|---|
1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
1245830066 | Madeline Theresa Howes | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-10-30 |
1326648148 | Briana Angelique Swails | Behavior Technician | 721 Commerce Drive, Woodbury, MN 55125 | 2020-10-30 |
1013516046 | Rachel Marie Ecker | Behavior Technician | 721 Commerce Drive, Woodbury, MN 55125 | 2020-10-21 |
1255930574 | Grace Louise Olson | Behavior Technician | 700 Commerce Dr Ste 260, Woodbury, MN 55125-9243 | 2020-10-19 |
1780282384 | Noah Daniel Kast | Behavior Technician | 721 Commerce Dr, Woodbury, MN 55125 | 2020-10-15 |
1548867427 | Griffin Christian Royale Jensen | Behavior Technician | 731 Bielenberg Dr, Woodbury, MN 55125-1700 | 2020-10-05 |
1134736440 | Michaela Parnell | Behavior Technician | 700 Commerce Dr Ste 260, Woodbury, MN 55125-9243 | 2020-09-30 |
1023625332 | Carrie Knafla | Behavior Technician | 700 Commerce Dr Ste 260, Woodbury, MN 55125-9243 | 2020-09-30 |
1841807153 | Juliana Fuller | Behavior Technician | 700 Commerce Dr Ste 260, Woodbury, MN 55125-9243 | 2020-09-30 |
Find all providers in WOODBURY |
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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.