JACOB T PITCHFORD (NPI# 1306456355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306456355 |
| Entity Type | Individual |
| Full Name | JACOB T PITCHFORD |
| Practice Address |
8670 210th St W Lakeville MN 55044-7000 |
| Mailing Address |
W175n11120 Stonewood Dr Germantown WI 53022-4799 |
| Practice Telephone | 8004381772 |
| Practice Fax Number | 2623455562 |
| Mailing Telephone | 8004381772 |
| Mailing Fax Number | 2623455562 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| 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 |
8670 210TH ST W |
| City | LAKEVILLE |
| State | MN |
| Zip Code | 55044-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346351350 | Independent School District # 194 | Local Education Agency (LEA) | 8670 210th St W, Lakeville, MN 55044-7000 | 2006-08-31 |
| 1669079042 | Kayla M Pavelka | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-10-08 |
| 1285249391 | Travis T Mord | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-15 |
| 1548875412 | Anna C Dike | Counselor | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-09 |
| 1902411879 | Steven A Bacon | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-09 |
| 1467066068 | Molly A Sartor | Counselor | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-02 |
| 1750990735 | Abgail G Mord | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-07-27 |
| 1760009021 | Jamie J Cole | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-07-02 |
| 1073130613 | Samuel K Murphy | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-06-30 |
| 1124654470 | Emily Carberg | Counselor | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1275069676 | Alison Marie Weaver | Physical Therapist | 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 | 2017-05-04 |
| 1184177479 | Megan Erickson | Physical Therapist | 21034 Heron Way Ste 102, Lakeville, MN 55044 | 2016-08-03 |
| 1669827523 | Kristine Louise Duhamel | Nurse Practitioner | 18275 Kenrick Avenue, Lakeville, MN 55044 | 2016-04-28 |
| 1003281536 | Heather Leann Wegner | Counselor | 16233 Kenyon Ave, Lakeville, MN 55044 | 2015-12-09 |
| 1982081295 | Dana Bungert | Specialist/Technologist | 11060 Upper 167th St W, Lakeville, MN 55044 | 2015-05-06 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| Find all providers in zip 55044 | ||||
| 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 |
|---|---|---|---|---|
| 1295378362 | Lindsey Ann Macneill | Behavior Technician | 3 Holloway Brook Rd, Lakeville, MA 02347-1841 | 2019-10-22 |
| 1669079042 | Kayla M Pavelka | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-10-08 |
| 1891301586 | Allison Wahlberg | Behavior Technician | 10450 185th St W Ste 100, Lakeville, MN 55044-6696 | 2020-09-18 |
| 1285249391 | Travis T Mord | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-15 |
| 1902411879 | Steven A Bacon | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-09 |
| 1609489335 | Brooke J Olson | Behavior Technician | 10450 185th St W Ste 100, Lakeville, MN 55044-6696 | 2020-08-24 |
| 1750990735 | Abgail G Mord | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-07-27 |
| 1760009021 | Jamie J Cole | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-07-02 |
| 1376160754 | Leesa Kimberly Malone | Behavior Technician | 10450 185th St W Ste 100, Lakeville, MN 55044-6696 | 2020-07-01 |
| 1073130613 | Samuel K Murphy | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-06-30 |
| Find all providers in LAKEVILLE | ||||
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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.