BRENDA BOLLENBERG (NPI# 1255784856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255784856 |
| Entity Type | Individual |
| Full Name | BRENDA BOLLENBERG |
| Practice Address |
1055 Bay Breeze Dr Suffolk VA 23435-3274 |
| Practice Telephone | 7573756403 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0133000793 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1055 BAY BREEZE DR |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-3274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| 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 |
|---|---|---|---|---|
| 1316547516 | Thrive Behavioral Consulting, LLC | Behavioral Analyst | 204 Reservoir Ln, Suffolk, VA 23434-4456 | 2020-10-27 |
| 1386132363 | Branchaud Behavioral Therapy | Behavioral Analyst | 5776 Greenwood Rd, Suffolk, VA 23437-9252 | 2018-04-25 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1619350071 | Emily Hillard Grimsley | Behavioral Analyst | 856 Normandy Dr, Suffolk, VA 23434-2934 | 2015-07-02 |
| 1255718565 | Allison Kuhn | Behavioral Analyst | 6733 Burbage Lake Cir, Suffolk, VA 23435-2905 | 2015-05-06 |
| 1366835985 | Heather Rochford | Behavioral Analyst | 1903 Waters Edge Ln, Suffolk, VA 23435-2856 | 2015-03-05 |
| 1235546417 | Spectrum Behavioral Consulting LLC | Behavioral Analyst | 1109 Fern Ln, Suffolk, VA 23434-2547 | 2014-07-19 |
| 1588820260 | Kristin Helgerson Frigelj | Behavioral Analyst | 6420 Olde Bullocks Cir, Suffolk, VA 23435-2923 | 2008-08-01 |
| 1326499823 | Joanna Sue Santiago | Behavioral Analyst | 6420 Olde Bullocks Cir, Suffolk, VA 23435-2923 | 2016-06-27 |
| 1710336557 | 180 Behavioral Consulting, LLC | Behavioral Analyst | 6733 Burbage Lake Cir, Suffolk, VA 23435-2905 | 2016-06-10 |
| Find all providers in SUFFOLK | ||||
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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.