MOLLY B PETERSON (NPI# 1295349942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295349942 |
| Entity Type | Individual |
| Full Name | MOLLY B PETERSON |
| Practice Address |
1801 American Blvd E Bloomington MN 55425-1232 |
| Practice Telephone | 9527672267 |
| Mailing Telephone | 9527672267 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
| 1881249795 | Molly Peterson | Physical Therapist | 600 W Roosevelt Rd, Chicago, IL 60607-4912 | 2019-08-07 |
| 1497229710 | Molly G Peterson | Lactation Consultant, Non-RN | 530 N 108th Pl, Wauwatosa, WI 53226-4253 | 2019-01-21 |
| 1659856391 | Molly Peterson | Student in an Organized Health Care Education/Training Program | 576 Bielenberg Dr Ste 250, Woodbury, MN 55125-1739 | 2018-09-28 |
| 1164931648 | Molly Claire Peterson | Occupational Therapist | 32607 47th Ave Sw, Federal Way, WA 98023 | 2017-09-27 |
| 1639534902 | Molly C Peterson | Counselor | 932 E 34th St, Door #8, Minneapolis, MN 55407 | 2015-12-30 |
| 1043655533 | Molly Peterson | Occupational Therapist | 7505 Country Club Dr, Golden Valley, MN 55427-4501 | 2013-05-09 |
| Street Address |
1801 AMERICAN BLVD E |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093088544 | Timothy James Kaehr | Marriage & Family Therapist | 1801 American Blvd E, Suite 1, Bloomington, MN 55425-1232 | 2012-02-14 |
| 1245830645 | Rebecca Angela Therese Hendrickson | Speech-Language Pathologist | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-10-27 |
| 1245830777 | Kyle Brigitte Munoz | Behavior Technician | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-10-26 |
| 1497355945 | Shannon Fisher | Behavior Technician | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-10-26 |
| 1033719588 | Cinthia Ramirez | Behavior Technician | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-10-26 |
| 1588262851 | Chelsea Nicole Mcafee | Behavior Technician | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-10-09 |
| 1174121446 | Alexandra Eckert | Behavior Technician | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-10-09 |
| 1023615416 | Andrea Mcgowan | Behavior Technician | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-10-08 |
| 1154928984 | Alejandra Perez Cisneros | Behavior Technician | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-10-05 |
| 1336756725 | Jhetali Miracle Gutierrez | Behavior Technician | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1336292911 | Gane Marie Boothroyd | Optometrist | 304 N. Garden, Mall of America, Bloomington, MN 55425 | 2007-01-18 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
| Find all providers in zip 55425 | ||||
| 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 |
|---|---|---|---|---|
| 1679171516 | Muna Shire | Behavior Technician | 9133 Knox Ave S, Bloomington, MN 55431-2213 | 2020-10-13 |
| 1366051757 | Hussein Mohamed | Behavior Technician | 8735 Portland Ave S Apt 208, Bloomington, MN 55420-2959 | 2020-07-30 |
| 1942819339 | Farhan Ahmed Mohamoud | Behavior Technician | 9201 Nicollet Ave S Apt 221, Bloomington, MN 55420-3767 | 2020-07-30 |
| 1891328050 | Rebecca Rothwell | Behavior Technician | 1801 American Blvd E Ste 10, Bloomington, MN 55425-1217 | 2020-02-17 |
| 1881232650 | Sarah E Brown | Behavior Technician | 772 S Lancewood Ave, Bloomington, CA 92316-1343 | 2019-12-12 |
| 1518500727 | Kerri R Reese | Behavior Technician | 500 S Morton St Ste 10, Bloomington, IN 47403-2460 | 2019-10-21 |
| 1568920056 | Jessica M Guzman | Behavior Technician | 17796 Marygold Ave, Bloomington, CA 92316-1918 | 2019-03-04 |
| 1558840314 | Alexia Cisneros | Behavior Technician | 526 S Ironwood Ave, Bloomington, CA 92316-1218 | 2018-08-11 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1053629246 | Reach High Consulting and Therapy, LLC | Behavior Technician | 1501 W Tapp Rd, Bloomington, IN 47403-3459 | 2010-09-22 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55425 |
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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.