TAVARES EUELLS (NPI# 1205484821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205484821 |
| Entity Type | Individual |
| Full Name | TAVARES EUELLS |
| Practice Address |
8200 Humboldt Ave S Ste 100 Bloomington MN 55431-1433 |
| Practice Telephone | 9522367891 |
| Mailing Telephone | 9522367891 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| 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 |
8200 HUMBOLDT AVE S STE 100 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518208206 | Jeremy Keith Davis | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2013-03-06 |
| 1770131476 | Ayan A Haga I | Behavior Technician | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2019-08-27 |
| 1235787946 | Nimo A Mohamud | Behavior Technician | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2019-08-27 |
| 1881241883 | Amira Said Abdullahi | Behavior Technician | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2019-08-23 |
| 1063069078 | Dekha Abdi Ali | Behavioral Analyst | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2019-08-23 |
| 1003468901 | Hanan Aweys Hassan | Behavior Technician | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431 | 2019-07-10 |
| 1609348549 | Maryam Hassan Abtidon | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2018-12-17 |
| 1922579119 | Erin Michelle Freshwater | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2018-12-16 |
| 1295206878 | David Aurelio Jara | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2018-12-08 |
| 1780153809 | Collette C Gboweh | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2018-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| 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 |
|---|---|---|---|---|
| 1679171516 | Muna Shire | Behavior Technician | 9133 Knox Ave S, Bloomington, MN 55431-2213 | 2020-10-13 |
| 1366051757 | Hussein Mohamed | Behavior Technician | 8735 Portland Ave S Apt 208, Bloomington, MN 55420-2959 | 2020-07-30 |
| 1942819339 | Farhan Ahmed Mohamoud | Behavior Technician | 9201 Nicollet Ave S Apt 221, Bloomington, MN 55420-3767 | 2020-07-30 |
| 1891328050 | Rebecca Rothwell | Behavior Technician | 1801 American Blvd E Ste 10, Bloomington, MN 55425-1217 | 2020-02-17 |
| 1881232650 | Sarah E Brown | Behavior Technician | 772 S Lancewood Ave, Bloomington, CA 92316-1343 | 2019-12-12 |
| 1518500727 | Kerri R Reese | Behavior Technician | 500 S Morton St Ste 10, Bloomington, IN 47403-2460 | 2019-10-21 |
| 1568920056 | Jessica M Guzman | Behavior Technician | 17796 Marygold Ave, Bloomington, CA 92316-1918 | 2019-03-04 |
| 1558840314 | Alexia Cisneros | Behavior Technician | 526 S Ironwood Ave, Bloomington, CA 92316-1218 | 2018-08-11 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1053629246 | Reach High Consulting and Therapy, LLC | Behavior Technician | 1501 W Tapp Rd, Bloomington, IN 47403-3459 | 2010-09-22 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
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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.