MAHALA WILLMANN (NPI# 1477090595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477090595 |
| Entity Type | Individual |
| Full Name | MAHALA WILLMANN |
| Credential | RBT |
| Practice Address |
1054 Purdue Dr Longmont CO 80503-3650 |
| Practice Telephone | 7202532868 |
| Mailing Telephone | 7202532868 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-15-10990 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1054 PURDUE DR |
| City | LONGMONT |
| State | CO |
| Zip Code | 80503-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145025 | Home Care Colorado, LLC | In Home Supportive Care | 2919 17th Ave., Suite 215, Longmont, CO 80503 | 2020-02-07 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
| 1427368299 | Sally Anne Thompson | Specialist | 3664 Oakwood Drive, Longmont, CO 80503 | 2010-10-14 |
| 1124357082 | Penny Trevithick | Specialist | 8380 Hygiene Rd, Longmont, CO 80503 | 2009-12-23 |
| 1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
| 1003142928 | Sarah Jean Dubbe | Massage Therapist | 1690 Brown Court, Longmont, CO 80503 | 2009-10-28 |
| Find all providers in zip 80503 | ||||
| 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 |
|---|---|---|---|---|
| 1679108708 | Sydney Shaw | Behavior Technician | 1839 Terry St, Longmont, CO 80501-2096 | 2020-03-09 |
| 1821642935 | Amanda Quinones | Behavior Technician | 10 Burlington Dr, Longmont, CO 80501-6906 | 2019-07-26 |
| 1417421512 | Raymond Pereira | Behavior Technician | 1420 Renaissance Dr Apt E104, Longmont, CO 80503-6978 | 2019-01-11 |
| 1609349513 | Leah Mayo | Behavior Technician | 1833 Sunset Pl Ste C, Longmont, CO 80501-6545 | 2019-01-03 |
| 1316559115 | Courtney Brock | Behavior Technician | 1233 Sherman Dr, Longmont, CO 80501-6133 | 2020-08-21 |
| 1760094544 | Tom Lierman | Behavior Technician | 1233 Sherman Dr, Longmont, CO 80501-6133 | 2020-08-21 |
| 1306458203 | Carolyn Anne Madden | Behavior Technician | 1233 Sherman Dr, Longmont, CO 80501-6133 | 2020-08-20 |
| 1548890106 | Mary Dawn Lawrence | Behavior Technician | 1233 Sherman Dr, Longmont, CO 80501-6133 | 2020-01-23 |
| 1669010997 | Brittany Coleman | Behavior Technician | 1233 Sherman Dr, Longmont, CO 80501-6133 | 2019-12-17 |
| 1073172011 | Hope De Ruyter | Behavior Technician | 1233 Sherman Dr, Longmont, CO 80501-6133 | 2019-06-12 |
| Find all providers in LONGMONT | ||||
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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.