MARISSA LAUREL STORDAHL (NPI# 1275144388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275144388 |
| Entity Type | Individual |
| Full Name | MARISSA LAUREL STORDAHL |
| Credential | MS, BCBA |
| Practice Address |
5654 Garden Hills Ln Saint Cloud MN 56301-3412 |
| Practice Telephone | 3204914768 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
5654 GARDEN HILLS LN |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| 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 |
|---|---|---|---|---|
| 1902433436 | Shari Jean Brenner | Behavioral Analyst | 819 11th Ave N, Saint Cloud, MN 56303-2952 | 2020-03-25 |
| 1881233641 | Nelitza Nicole Oquendo | Behavioral Analyst | 2896 Matera Dr, Saint Cloud, FL 34771-9132 | 2019-12-26 |
| 1942861455 | Kelsey G Estrella | Behavioral Analyst | 3979 Cedar Hammock Trl, Saint Cloud, FL 34772-8739 | 2019-06-25 |
| 1285123232 | Breana Ruud | Behavioral Analyst | 3721 23rd St S Apt 201, Saint Cloud, MN 56301-6199 | 2018-05-05 |
| 1679082895 | Larisa Nadezhda Montano-romero | Behavioral Analyst | 2544 Jenscot Road, Saint Cloud, FL 34771 | 2017-09-20 |
| 1881087781 | Robedna Behavioral Consulting | Behavioral Analyst | 3600 W Saint Germain St, 267, Saint Cloud, MN 56301-4633 | 2015-03-17 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| 1396175469 | Delly Muniz | Behavioral Analyst | 233 Pine Valley Rd Apt 233a, Saint Cloud, FL 34769-1456 | 2013-11-26 |
| 1174801757 | Patrice Strange | Behavioral Analyst | 4270 Albritton Rd, Saint Cloud, FL 34772-7952 | 2011-07-29 |
| 1952554750 | Wendy R Zeballos | Behavioral Analyst | 1557 Pine Marsh Loop, Saint Cloud, FL 34771-7407 | 2008-10-24 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
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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.