KIMBERLY L GARDNER (NPI# 1447753504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447753504 |
| Entity Type | Individual |
| Full Name | KIMBERLY L GARDNER |
| Practice Address |
17505 Old Jefferson Hwy Prairieville LA 70769-3930 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9855003130 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | R-3381 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892268 | Kimberly Gardner | Pharmacist | 4205 Ferncreek Dr, Fayetteville, NC 28314-2537 | 2020-02-11 |
| 1710489026 | Kimberly Elizabeth Gardner | Physician Assistant | 2301 Erwin Road Dumc Box 3512, Durham, NC 27710-0001 | 2018-03-02 |
| 1245766799 | Kimberly Ann Gardner | Behavioral Analyst | 3941 De Sabla Rd, Cameron Park, CA 95682-8604 | 2017-05-03 |
| 1831511567 | Kimberly Ann Gardner | Physical Therapist | 19303 N New Tradition Rd, 202, Sun City West, AZ 85375-3806 | 2014-01-15 |
| 1023247061 | Kimberly Ruth Gardner | Radiology | 17503 Nassau Commons Blvd, Lewes, DE 19958-6283 | 2009-07-13 |
| 1124218581 | Kimberly Claire Gardner | Counselor | 500 S Lamborn St, Helena, MT 59601-5417 | 2007-07-31 |
| 1710097605 | Kimberly Gardner | Physical Therapy Assistant | 164 Mount Pelia Rd Ste 102, Martin, TN 38237-3835 | 2006-08-30 |
| 1497286751 | Kimberly Alexis Gardner | Counselor | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2017-03-27 |
| 1275990053 | Kimberly Ann Gardner | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2016-01-25 |
| 1306264841 | Kimberly E Gardner | Nurse Practitioner | 7611 Forest Ave Ste 320, Richmond, VA 23229-4946 | 2014-04-02 |
| Street Address |
17505 OLD JEFFERSON HWY |
| City | PRAIRIEVILLE |
| State | LA |
| Zip Code | 70769-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757243 | First Care After Hours Inc | Family Medicine | 17505 Old Jefferson Hwy, Prairieville, LA 70769 | 2006-08-16 |
| 1891394847 | Marquishah L Scott | Behavioral Analyst | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-10-21 |
| 1154929222 | Berkley Michelle Dronett | Behavioral Analyst | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-10-12 |
| 1912511312 | Megan Danielle Duplessis | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-09-02 |
| 1992317978 | Haley Ann Lightsey | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-08-20 |
| 1104437276 | Christine Huynh | Behavioral Analyst | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-08-12 |
| 1578189353 | Ashley N Mallett | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769 | 2020-06-17 |
| 1588299093 | Amber Nicole Edwards | Behavioral Analyst | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-03-04 |
| 1245864198 | Constance M Harrison | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-03-01 |
| 1669005666 | Kiara Holliday | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670252 | Lam Dentistry | Clinic/Center | 37341 Perkins Road, Prairieville, LA 70769 | 2019-07-09 |
| 1124597836 | Tien-trang Thi Le | Pharmacist | 40567 La-42, Prairieville, LA 70769 | 2018-11-26 |
| 1245707884 | Prairieville Emergency Physicians, Pllc | General Acute Care Hospital | 37358 Market Place Dr., Prairieville, LA 70769 | 2018-11-01 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1003311234 | Toni Duhe Byers | Counselor | 40228 Parker Road, Prairieville, LA 70769 | 2018-03-29 |
| 1205330990 | Grace Family Chiropractic LLC | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769 | 2018-03-19 |
| 1184127698 | Kenya Smith | Case Manager/Care Coordinator | 36369 Crestway Ave, Prairieville, LA 70769 | 2018-03-10 |
| 1376055798 | Jennifer Gravois Granier | Pharmacist | 40567 La Hwy 42, Prairieville, LA 70769 | 2017-10-25 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1629598537 | Keshla Washington | Specialist/Technologist | 36505 Oak Plaza Ave, Suite B, Prairieville, LA 70769 | 2017-06-21 |
| Find all providers in zip 70769 | ||||
| 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 |
|---|---|---|---|---|
| 1629623459 | Tyranesha Riley | Behavior Technician | 17505 Old Jefferson Hwy # 73, Prairieville, LA 70769-3930 | 2019-08-08 |
| 1144821281 | Georgette Sananikone | Behavior Technician | 17505 Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-11-05 |
| 1912511312 | Megan Danielle Duplessis | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-09-02 |
| 1992317978 | Haley Ann Lightsey | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-08-20 |
| 1578189353 | Ashley N Mallett | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769 | 2020-06-17 |
| 1245864198 | Constance M Harrison | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-03-01 |
| 1669005666 | Kiara Holliday | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-02-18 |
| 1609413475 | Abigail Haile | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2019-11-28 |
| 1013553890 | Ashley Nicole Altmon | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2019-11-27 |
| 1801453709 | Averi Belle Laughlin | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2019-05-26 |
| Find all providers in PRAIRIEVILLE | ||||
| City | PRAIRIEVILLE |
| Zip Code | 70769 |
Please comment or provide details below to improve the information on KIMBERLY L GARDNER.
| 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.