KYRA JEAN SHEPHERD (NPI# 1316575525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316575525 |
| Entity Type | Individual |
| Full Name | KYRA JEAN SHEPHERD |
| Practice Address |
14387 Edgewood Dr Baxter MN 56425-8460 |
| Practice Telephone | 2184545181 |
| Mailing Telephone | 2184545181 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| 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 |
|---|---|---|---|---|
| 1861924920 | Kyra Shepherd | Technician | 4297 6th St Se, Apt 302, Washington, DC 20032-3675 | 2017-03-29 |
| Street Address |
14387 EDGEWOOD DR |
| City | BAXTER |
| State | MN |
| Zip Code | 56425-8460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186487 | Good Neighbor Resources, Inc. | Home Health | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2005-07-07 |
| 1871193854 | Shyla Jo Rocca | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-10-28 |
| 1154937951 | Brittnie Draeger | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-09-17 |
| 1205446994 | Malorie Paige Jordan | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-08-06 |
| 1407466873 | Samantha Waloch | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-07-31 |
| 1699393587 | Samantha Hartman | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-07-08 |
| 1467079996 | Cassandra Marie Brooks | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-07-01 |
| 1689297848 | Kalee Anne Guderjohn | Social Worker | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-05-22 |
| 1598387276 | Adam Dean Bunte | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-05-15 |
| 1376165084 | Hannah Judovsky | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
| 1033555867 | Shiela Klemmetsen | Family Medicine | Essentia Health St. Joseph's-baxter Clinic, 13060 Isle Drive, Baxter, MN 56425 | 2013-05-20 |
| 1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
| 1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
| 1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
| 1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
| 1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
| 1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| Find all providers in zip 56425 | ||||
| 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 |
|---|---|---|---|---|
| 1902421282 | Heather Parker | Behavior Technician | 301 4th Ave South, Baxter, TN 38544 | 2020-06-11 |
| 1871193854 | Shyla Jo Rocca | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-10-28 |
| 1154937951 | Brittnie Draeger | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-09-17 |
| 1205446994 | Malorie Paige Jordan | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-08-06 |
| 1407466873 | Samantha Waloch | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-07-31 |
| 1699393587 | Samantha Hartman | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-07-08 |
| 1467079996 | Cassandra Marie Brooks | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-07-01 |
| 1598387276 | Adam Dean Bunte | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-05-15 |
| 1376165084 | Hannah Judovsky | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-05-15 |
| 1831719699 | Wendy Lou Johnson | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-04-22 |
| Find all providers in BAXTER | ||||
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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.