GRACE KATHERINE BROTHERTON (NPI# 1306443585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306443585 |
| Entity Type | Individual |
| Full Name | GRACE KATHERINE BROTHERTON |
| Credential | BA, RBT |
| Practice Address |
5859 W Talavi Blvd Ste 180 Glendale AZ 85306-1873 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 6025602836 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-134387 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447704911 | Grace Lyne Brotherton | Counselor | 603 Rosary Dr., Senior Life Solutions, Corning, IA 50841 | 2016-08-12 |
| Street Address |
5859 W TALAVI BLVD STE 180 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558591172 | Laura Marie Wendlandt | Psychologist | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2009-07-16 |
| 1184231458 | Ashley Jean Biondo | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-30 |
| 1093322968 | Crystal Ann Carroll | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-25 |
| 1366056699 | Juliana Terese Hill | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1861006199 | Jessica Yvonne Camacho | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1932713260 | Rosa Marie Chanza | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1154935484 | Jada Inez Ward | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1437762465 | Alyssa Talya Guetter-peters | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-08-28 |
| 1437762663 | Lucas Wethington Dillon | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-08-27 |
| 1003428392 | Daniella Lucille Gentile | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| 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 |
|---|---|---|---|---|
| 1235746298 | Bernadette Poawui | Behavior Technician | 5665 W Desert Jewel Dr, Glendale, AZ 85302-4663 | 2020-09-24 |
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1326665290 | Lizeth Sandoval | Behavior Technician | 611 N Brand Blvd Ste 100, Glendale, CA 91203-1221 | 2020-06-26 |
| 1841813961 | Yoshica Mitchell | Behavior Technician | 12923 W Lawrence Ct, Glendale, AZ 85307-1900 | 2020-05-22 |
| 1730702960 | Christina E Bernier | Behavior Technician | 5625 W Bloomfield Rd, Glendale, AZ 85304-1816 | 2020-05-21 |
| 1164045704 | Tina Choi | Behavior Technician | 741 Glenvia St Ste 102&200, Glendale, CA 91206-2425 | 2020-05-18 |
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1811548639 | Jennifer Anne Nardoni | Behavior Technician | 741 Glenvia St Ste 102, Glendale, CA 91206-2425 | 2019-09-23 |
| 1497305379 | Karl Garfield Hinshaw | Behavior Technician | 1871 Sherer Ln, Glendale, CA 91208-2713 | 2019-09-12 |
| 1700345147 | James Kevin Harris | Behavior Technician | 6820 W Denton Ln, Glendale, AZ 85303-5920 | 2019-03-15 |
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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.