DOMINIQUE ROBERT BUECHEL (NPI# 1417566092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417566092 |
| Entity Type | Individual |
| Full Name | DOMINIQUE ROBERT BUECHEL |
| Practice Address |
205 14th Ave E Sartell MN 56377-4500 |
| Practice Telephone | 3207743436 |
| Practice Fax Number | 3207743440 |
| Mailing Telephone | 3207743436 |
| Mailing Fax Number | 3207743440 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 108 Doctors Park, Saint Cloud, MN 563031207 | 3207743915 |
| Street Address |
205 14TH AVE E |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1073112462 | Lindzey Maree Myhre | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-18 |
| 1356940746 | Brynne Ann Gerbasi | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-18 |
| 1124627500 | Alisha Ann Vornbrock | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-18 |
| 1205434487 | Rose Ann Ruprecht | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-11 |
| 1013514934 | Dacoda Valentine Zimmerman | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-04 |
| 1043827611 | Augustine Navarro Hahn | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-09-28 |
| 1447867056 | Kelsey Ann Honer | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-09-28 |
| 1679180285 | Hattie K Powers | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-09-28 |
| 1992310684 | Madison Faith Gornick | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| 1720387624 | Sleep Therapy | Durable Medical Equipment & Medical Supplies | 2157 Troop Dr Ste 100, Sartell, MN 56377 | 2011-03-18 |
| Find all providers in zip 56377 | ||||
| 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 |
|---|---|---|---|---|
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1073112462 | Lindzey Maree Myhre | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-18 |
| 1356940746 | Brynne Ann Gerbasi | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-18 |
| 1124627500 | Alisha Ann Vornbrock | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-18 |
| 1205434487 | Rose Ann Ruprecht | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-11 |
| 1013514934 | Dacoda Valentine Zimmerman | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-10-04 |
| 1043827611 | Augustine Navarro Hahn | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-09-28 |
| 1447867056 | Kelsey Ann Honer | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-09-28 |
| 1679180285 | Hattie K Powers | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-09-28 |
| 1992310684 | Madison Faith Gornick | Behavior Technician | 205 14th Ave E, Sartell, MN 56377-4500 | 2020-09-10 |
| Find all providers in SARTELL | ||||
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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.