12 STEPS FOR CHRISTIAN LIVING (NPI# 1396128229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396128229 |
| Entity Type | Organization |
| Organization Name | 12 STEPS FOR CHRISTIAN LIVING |
| Other Organization Name | CHRISTIAN LIVING CENTER |
| Practice Address |
2111 E Baseline Rd Ste C8 Tempe AZ 85283-1521 |
| Practice Telephone | 4808311212 |
| Mailing Telephone | 4808311212 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | DR. ROBERT LEIGHTON STADHEIM (PRESIDENT) |
| Authorized Official Telephone | 4808311212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 102L00000X | Psychoanalyst | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Christian Living Center | Other Name - Individual/Organization |
| Street Address |
2111 E BASELINE RD STE C8 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| 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 |
|---|---|---|---|---|
| 1396380010 | Hopebridge LLC | Behavioral Analyst | 8915 S Harl Ave, Tempe, AZ 85284-1030 | 2019-11-18 |
| 1518426808 | Dustin Johnson | Behavioral Analyst | 4690 S Lakeshore Dr Apt 3008, Tempe, AZ 85282-1161 | 2019-03-15 |
| 1437634441 | Leslie Barrera Dorantes | Behavioral Analyst | 260 E Rio Salado Pkwy Apt 2014, Tempe, AZ 85281-0242 | 2018-09-26 |
| 1750885547 | Full Spectrum Behavioral Solutions, Pllc | Behavioral Analyst | 508 E Orion St, Tempe, AZ 85283-2880 | 2018-03-19 |
| 1154861003 | Michelle Augustyn | Behavioral Analyst | 1226 E Northshore Dr, Tempe, AZ 85283-1410 | 2017-02-26 |
| 1194269415 | Humanitas Family Center LLC | Behavioral Analyst | 701 W Grove Pkwy, #164, Tempe, AZ 85283-4501 | 2016-12-05 |
| 1790149904 | Patricia Felix | Behavioral Analyst | 1729 W Greentree Dr Ste 103, Tempe, AZ 85284-2712 | 2016-04-13 |
| 1174985295 | Sasha Verdugo | Behavioral Analyst | 5743 S Parkside Dr, Tempe, AZ 85283-1630 | 2016-03-28 |
| 1457785685 | Nichole A Holmes | Behavioral Analyst | 1817 E Southern Ave, 122, Tempe, AZ 85282-5814 | 2013-08-23 |
| 1598993099 | Kellie Bynum | Behavioral Analyst | 610 E Baseline Rd Ste 101, Tempe, AZ 85283-1204 | 2009-06-24 |
| Find all providers in TEMPE | ||||
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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.