CLEAR CREEK BEHAVIOR SERVICES LLC (NPI# 1245755701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245755701 |
| Entity Type | Organization |
| Organization Name | CLEAR CREEK BEHAVIOR SERVICES LLC |
| Practice Address |
214 Eagle Dr Golden CO 80403-7768 |
| Practice Telephone | 3039129976 |
| Enumeration Date | 2017-08-06 |
| Last Update Date | 2017-08-06 |
| Authorized Official Name | PAMELA MARTIEN-KOCH (OWNER) |
| Authorized Official Telephone | 3039129976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-04-1944 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000143403 | 05 |
| Street Address |
214 EAGLE DR |
| City | GOLDEN |
| State | CO |
| Zip Code | 80403-7768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417229394 | Dami Ann Hughes | Massage Therapist | 19562 W 57th Circle, Golden, CO 80403 | 2012-02-07 |
| 1942446075 | Laura Brett | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2008-12-18 |
| 1952453664 | Jan M. Oxman | Psychologist | 17830 W. 53rd Drive, Golden, CO 80403 | 2007-01-16 |
| 1609935337 | Julie Ann Lindsay | Physical Therapist | 109 Rubey Dr, Suite G-h, Golden, CO 80403 | 2006-12-08 |
| 1285660936 | Theraphysics Partners of Colorado, Inc. | Physical Therapist | 112 N Rubey Dr Unit 135, Golden, CO 80403 | 2006-06-24 |
| 1811930043 | Cynthia K Petrinovic | Occupational Therapist | 3935 Douglas Mtn Drive, Golden, CO 80403 | 2006-06-14 |
| 1245716075 | Brittany Horrigan | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-15 |
| 1710463765 | Ciara Falzone | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-12 |
| 1982199899 | Elizabeth Mweru Wambugu | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-06-25 |
| 1114463882 | Summit Speech and Language Therapy, LLC | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2017-01-18 |
| Find all providers in zip 80403 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661166 | Jacqueline Evonne Hildebrand | Behavioral Analyst | 301 Albers St, Golden, IL 62339-1006 | 2020-05-27 |
| 1558916015 | Blank Slate Behavior, LLC | Behavioral Analyst | 42 S Holman Way Apt 3f, Golden, CO 80401-5155 | 2019-08-01 |
| 1134624059 | Lauren Reis | Behavioral Analyst | 1934 Denver West Ct Apt 2134, Golden, CO 80401-0943 | 2018-03-25 |
| 1588040513 | Azuree Goreham | Behavioral Analyst | 1390 Yank St, Golden, CO 80401-4245 | 2015-07-31 |
| 1992188247 | Erin Hines | Behavioral Analyst | 411 Antero St, Golden, CO 80401-5291 | 2015-07-06 |
| 1982084786 | Leslie Heinrichs | Behavioral Analyst | 1552 Jesse Ln, Golden, CO 80403-8068 | 2015-06-05 |
| 1083238729 | Atlas Behavior Services | Behavioral Analyst | 301 Albers St, Golden, IL 62339-1006 | 2020-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578093 | Total Initiative Pursuit LLC | Behavioral Analyst | 5474 Jessica Ct, Colorado Springs, CO 80917-4218 | 2020-11-03 |
| 1083214076 | Taemy Kim-mander | Behavioral Analyst | 7382 Halite Ct, Castle Rock, CO 80108-3023 | 2020-10-28 |
| 1023618196 | Vocational Development Group, LLC | Behavioral Analyst | 421 Windchime Pl, Colorado Springs, CO 80919-1984 | 2020-10-28 |
| 1013517176 | Jessica Elizabeth Critz | Behavioral Analyst | 2028 W Adriatic Pl, Englewood, CO 80110-1003 | 2020-10-28 |
| 1639779143 | Angela Jagdish Shah | Behavioral Analyst | 4675 Otis St, Wheat Ridge, CO 80033-3714 | 2020-10-26 |
| 1518566009 | Vocational Development Group | Behavioral Analyst | 9053 Harlan St Ste 90, Westminster, CO 80031-2908 | 2020-10-26 |
| 1427657303 | Mollie M Sheehan | Behavioral Analyst | 410 Sheridan Blvd, Lakewood, CO 80226-8104 | 2020-10-21 |
| 1760089270 | Monarch Behavioral Therapy, LLC, Bii | Behavioral Analyst | 19585 Hess Rd Ste C6, Parker, CO 80134-3891 | 2020-10-07 |
| 1922605567 | Songbird Health Co LLC | Behavioral Analyst | 1624 Market St Ste 226 #17739, Denver, CO 80202-1559 | 2020-10-07 |
| 1013524297 | By Your Side Colorado, LLC | Behavioral Analyst | 826 Paseo Rd, Colorado Springs, CO 80907-7150 | 2020-09-30 |
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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.