KALLY SORENSEN (NPI# 1437696051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437696051 |
| Entity Type | Individual |
| Full Name | KALLY SORENSEN |
| Practice Address |
600 N 93rd St Ste 200 Omaha NE 68114-2616 |
| Mailing Address |
13322 I St Omaha NE 68137-1111 |
| Practice Telephone | 4022305861 |
| Mailing Telephone | 4022305861 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13322 I St, Omaha, NE 681371111 | 4022305861 |
| Street Address |
600 N 93RD ST STE 200 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073073664 | Kathya Carvajal | Behavior Technician | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2019-03-21 |
| 1861958423 | Annalise Anderson | Behavior Technician | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2019-02-19 |
| 1043776610 | Thomas Hoden | Behavior Technician | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2019-02-19 |
| 1225534324 | Anne C D'souza | Behavior Technician | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2018-04-05 |
| 1043723414 | Amber Evelyn Willis | Behavior Technician | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1326572967 | Kyleigh Bromen | Assistant Behavior Analyst | 900 S 74th Plz Ste 102, Omaha, NE 68114-4667 | 2017-04-19 |
| 1891244018 | Courtney M Petersen | Assistant Behavior Analyst | 16902 Camden Ave, Omaha, NE 68116-8023 | 2016-09-28 |
| 1871079236 | Lydia Danielle Nicolaus | Assistant Behavior Analyst | 900 S 74th Plz Ste 102, Omaha, NE 68114-4667 | 2018-07-18 |
| 1184132169 | Steffi Read | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2018-01-12 |
| 1407362965 | Victoria Wageman | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2017-12-20 |
| 1386150845 | Jaclyn Barron | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2017-12-20 |
| 1104331503 | Amanda Denier | Assistant Behavior Analyst | 13322 I St, Omaha, NE 68137-1111 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902399595 | Aaron Martinez | Assistant Behavior Analyst | 20 Vince Dr, Bennet, NE 68317-2418 | 2018-06-08 |
| 1497294698 | Gretchen C Hutson | Assistant Behavior Analyst | 1012 Lincoln Rd Ste B, Bellevue, NE 68005-3102 | 2017-02-21 |
| 1457959009 | Madden Sharrett | Assistant Behavior Analyst | 1145 High St, Lincoln, NE 68502-4440 | 2020-10-15 |
| 1316545866 | Treana Anderson | Assistant Behavior Analyst | 1145 High St, Lincoln, NE 68502-4440 | 2020-10-15 |
Please comment or provide details below to improve the information on KALLY SORENSEN.
| 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.