MAREN ALEXANDRA CLARK (NPI# 1245845320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245845320 |
| Entity Type | Individual |
| Full Name | MAREN ALEXANDRA CLARK |
| Other Name | MAREN ALEXANDRA JOHNSON |
| Practice Address |
901 Whalen Rd Verona WI 53593-1765 |
| Practice Telephone | 8884768485 |
| Mailing Telephone | 8884768485 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| 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 |
901 WHALEN RD |
| City | VERONA |
| State | WI |
| Zip Code | 53593-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029864 | Mackenzie Jo Lemon | Behavior Technician | 901 Whalen Rd, Verona, WI 53593-1765 | 2020-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385467 | Tracy D. Pollack | Physical Therapist | 1049 North Edge Trail, Verona, WI 53593 | 2017-09-25 |
| 1851748115 | Jonna L Bier | Physical Therapy Assistant | 1049 N. Edge Trail, Verona, WI 53593 | 2016-05-17 |
| 1730451162 | Ultimate Performance Therapy, LLC | Physical Therapist | 403 Venture Ct, Suite 2, Verona, WI 53593 | 2012-02-01 |
| 1417246372 | Hammes Family Chiropractic LLC | Chiropractor | 1029 North Edge Trail, Verona, WI 53593 | 2011-03-31 |
| 1457678120 | Danielle Marie Waite | Licensed Practical Nurse | 606 Green Meadow Dr., Verona, WI 53593 | 2010-04-21 |
| 1316113418 | Linda T Hofstetter | Occupational Therapist | 720 Arbor Vitae Pl, Verona, WI 53593 | 2008-05-08 |
| 1902070758 | Judith F. Koeppl | Counselor | 4123 Monona Drive, Madison, WI 53593 | 2008-04-14 |
| 1881885408 | Carolyn J Moynihan | Marriage & Family Therapist | 8283 N Riley Rd, Verona, WI 53593 | 2007-08-08 |
| 1194810515 | Selma Herbst | Social Worker | 3657 Vickiann St, Verona, WI 53593 | 2006-10-03 |
| 1295830529 | Daniel Joseph Wadzinski | Dentist | 109 East Verona Avenue, Verona, WI 53593 | 2006-09-13 |
| Find all providers in zip 53593 | ||||
| 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 |
|---|---|---|---|---|
| 1972130920 | Kendra Mazahreh | Behavior Technician | 901 Whalen Rd Ste A, Verona, WI 53593-1766 | 2020-03-26 |
| 1164029864 | Mackenzie Jo Lemon | Behavior Technician | 901 Whalen Rd, Verona, WI 53593-1765 | 2020-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958104 | Rachel Hanson | Behavior Technician | 917 18 Three Quarters Street, Chetek, WI 54728 | 2020-06-26 |
| 1235752502 | Amanda Hartung | Behavior Technician | 9120 W Loomis Rd Ste 400, Franklin, WI 53132-9083 | 2020-05-21 |
| 1174143150 | Evan Jochimsen | Behavior Technician | 3131 S Nevada St, Milwaukee, WI 53207-2827 | 2020-04-20 |
| 1609405703 | Alexandra Dawn Niemi | Behavior Technician | N4689 Meade St, Appleton, WI 54913-9545 | 2020-04-02 |
| 1093354326 | Shawnna Smith | Behavior Technician | 7947 17th Ave, Kenosha, WI 53143-5959 | 2020-01-03 |
| 1851948152 | Courtney Krystal Gibbons | Behavior Technician | N20527 County Road J, Arcadia, WI 54612-1786 | 2019-08-21 |
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1578117412 | Raven Renje | Behavior Technician | 23725 127th St, Trevor, WI 53179-9437 | 2019-07-29 |
| 1386107589 | Jerusha Carter | Behavior Technician | 1785 Dublin Trl Apt 104, Neenah, WI 54956-6901 | 2019-04-13 |
| 1689149197 | Ashley Nicole Stephens | Behavior Technician | 317 4th St S, Suite 801, La Crosse, WI 54601-4047 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
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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.