RAVEN SAMONE MCKINNEY (NPI# 1417590936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417590936 |
| Entity Type | Individual |
| Full Name | RAVEN SAMONE MCKINNEY |
| Practice Address |
3100 Premier Dr St 234 Irving TX 75063 |
| Practice Telephone | 9727561222 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-93368 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3100 PREMIER DR ST 234 |
| City | IRVING |
| State | TX |
| Zip Code | 75063 |
| 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 |
| 1871035113 | Bianca Centeno | Behavioral Analyst | 3100 Premier Dr, Irving, TX 75063-2661 | 2016-11-16 |
| 1366827396 | Kenneth Elerson | Behavioral Analyst | 3100 Premier Dr, Ste 234, Irving, TX 75063-2661 | 2015-07-20 |
| 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 | 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 |
|---|---|---|---|---|
| 1477190601 | Brenda Sarai Lopez | Behavior Technician | 1310 Trinity View St, Irving, TX 75060-6248 | 2019-12-06 |
| 1447747225 | Alicia Blair Gayles | Behavior Technician | 400 E Royal Ln Bldg 3290, Irving, TX 75039-3540 | 2018-04-17 |
| 1518468677 | Shaniquia Bibbs | Behavior Technician | 400 E Royal Ln Ste 209, Irving, TX 75039-3664 | 2018-02-23 |
| 1356872014 | Portia Luster | Behavior Technician | 8616 Valley Ranch Pkwy W, Apt #3066, Irving, TX 75063-4145 | 2017-03-24 |
| 1043456296 | Monarch Behavioral Therapy, LLC, Bii | Behavior Technician | 3100 Premier Dr, Suite 234, Irving, TX 75063-2661 | 2008-12-17 |
| 1184223919 | Hayley Hoffman | Behavior Technician | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-10-22 |
| 1689281800 | Sanjog Lamichhane | Behavior Technician | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-09-30 |
| 1639790330 | Robin Michelle Williams | Behavior Technician | 400 E Royal Ln Ste 290, Irving, TX 75039-3602 | 2020-05-04 |
| 1669093621 | Heather Diamond | Behavior Technician | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-04-30 |
| 1942829908 | Jershayla Che're Johnson | Behavior Technician | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-04-10 |
| 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.