KENNETH ELERSON (NPI# 1366827396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366827396 |
| Entity Type | Individual |
| Full Name | KENNETH ELERSON |
| Credential | M |
| Practice Address |
3100 Premier Dr Ste 234 Irving TX 75063-2661 |
| Practice Telephone | 9727561222 |
| Practice Fax Number | 8172492215 |
| Mailing Telephone | 9727561222 |
| Mailing Fax Number | 8172492215 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-18179 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3100 PREMIER DR STE 234 |
| City | IRVING |
| State | TX |
| Zip Code | 75063-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043456296 | Monarch Behavioral Therapy, LLC, Bii | Behavior Technician | 3100 Premier Dr, Suite 234, Irving, TX 75063-2661 | 2008-12-17 |
| 1417590936 | Raven Samone Mckinney | Behavior Technician | 3100 Premier Dr, St 234, Irving, TX 75063 | 2019-10-28 |
| 1871035113 | Bianca Centeno | Behavioral Analyst | 3100 Premier Dr, Irving, TX 75063-2661 | 2016-11-16 |
| 1912385956 | Kevin Mcrae | Behavioral Analyst | 3100 Premier Dr, 234, Irving, TX 75063-2661 | 2015-05-11 |
| 1225447337 | Donna Kimbrough | Counselor | 3100 Premier Dr, 234, Irving, TX 75063-2661 | 2014-08-04 |
| 1073922183 | Sharon Brewer | Behavioral Analyst | 3100 Premier Dr, 234, Irving, TX 75063-2661 | 2014-08-04 |
| 1326467549 | Danielle Walters | Behavioral Analyst | 3100 Premier Dr, 234, Irving, TX 75063-2661 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| 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 |
|---|---|---|---|---|
| 1275000812 | Erica Sokoya | Behavioral Analyst | 400 E Royal Ln Bldg Suite290, Irving, TX 75039-3540 | 2018-11-01 |
| 1851895254 | Rachael Bradley | Behavioral Analyst | 400 E Royal Ln Bldg Ste 290, Irving, TX 75039-3540 | 2018-03-20 |
| 1356795116 | Hafsa Khan | Behavioral Analyst | 3649 W Walnut Hill Ln, Apt 3110, Irving, TX 75038-4043 | 2016-04-19 |
| 1326413014 | Vivien Simmons | Behavioral Analyst | 400 E. Royal Ln., Bldg 3, Ste 290, Irving, TX 75039 | 2015-12-06 |
| 1669860490 | Paige Oliver | Behavioral Analyst | 3100 Premier Dr Ste 243, Irving, TX 75063 | 2015-01-01 |
| 1265776850 | Jill Anjanette Wooten | Behavioral Analyst | 6301 Campus Circle Dr E Ste 100a, Irving, TX 75063-2705 | 2012-11-20 |
| 1972876126 | Rachael A Herrera | Behavioral Analyst | 3100 Premier Dr Ste 234, Irving, TX 75063 | 2012-02-20 |
| 1578849006 | Erica Hess Nolan | Behavioral Analyst | 400 E Royal Ln, Irving, TX 75039-3540 | 2011-10-28 |
| 1497036594 | Keely Stevenson | Behavioral Analyst | 400 E Royal Ln Bldg 3, Suite 290, Irving, TX 75039-3540 | 2011-09-01 |
| 1689983033 | Sara Marie Weinkauf | Behavioral Analyst | 1018 San Jacinto Dr, Apt 1535, Irving, TX 75063-8221 | 2010-10-04 |
| Find all providers in IRVING | ||||
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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.