BLAIZE WILLIAM KANDLER (NPI# 1275007874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275007874 |
| Entity Type | Individual |
| Full Name | BLAIZE WILLIAM KANDLER |
| Practice Address |
2016 S Washington St Grand Forks ND 58201-6342 |
| Practice Telephone | 7017574200 |
| Mailing Telephone | 7017574200 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| 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 |
2016 S WASHINGTON ST |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-6342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831389279 | Lindsay Dawn Schulz | Speech-Language Pathologist | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2007-08-01 |
| 1508481227 | Taylor White I | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-06-09 |
| 1114546843 | Brooke Hansey | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-04-13 |
| 1215567896 | Kristen Gee | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1467082040 | Alayna Castro | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1366072944 | Kacie Grace Baumler | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1750922555 | Alicia Bullinger | Physical Therapist | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-10-02 |
| 1194382143 | Amy Park | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1174180129 | Mariah Liann Duchesne | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1750843660 | Lindsay Birke | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| 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 |
|---|---|---|---|---|
| 1871139782 | Jalyn Marie Duttenhefer | Behavior Technician | 750 S 43rd St Apt 1136c, Grand Forks, ND 58201-3953 | 2019-11-26 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1508481227 | Taylor White I | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-06-09 |
| 1114546843 | Brooke Hansey | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-04-13 |
| 1215567896 | Kristen Gee | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1467082040 | Alayna Castro | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1366072944 | Kacie Grace Baumler | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1194382143 | Amy Park | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1174180129 | Mariah Liann Duchesne | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1750843660 | Lindsay Birke | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-04-01 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.