COLLEEN WEIDNER (NPI# 1528692233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528692233 |
| Entity Type | Individual |
| Full Name | COLLEEN WEIDNER |
| Practice Address |
4170 N 108th Ave Phoenix AZ 85037-5469 |
| Mailing Address |
16837 W Post Dr Surprise AZ 85388-1562 |
| Practice Telephone | 4807511957 |
| Mailing Telephone | 2246364604 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 19-100145 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4170 N 108TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-5469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073977724 | Chloe Hammernik | Counselor | 4170 N 108th Ave, Phoenix, AZ 85037-5469 | 2016-04-08 |
| 1437761749 | Kel-sei Dinkins | Behavior Technician | 4170 N 108th Ave, Phoenix, AZ 85037-5469 | 2020-08-18 |
| 1639789506 | Kaleb Unger | Behavior Technician | 4170 N 108th Ave, Phoenix, AZ 85037-5469 | 2020-08-05 |
| 1255956165 | Cassandra Henrichsen | Behavior Technician | 4170 N 108th Ave, Phoenix, AZ 85037-5469 | 2020-06-16 |
| 1144854134 | Laurina Woyee | Behavior Technician | 4170 N 108th Ave, Phoenix, AZ 85037-5469 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| 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 |
|---|---|---|---|---|
| 1215538806 | Life N Love Wellness Inc | Behavior Technician | 4050 E Cotton Center Blvd Ste 77, Phoenix, AZ 85040-8865 | 2020-11-02 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1023629235 | Empowerment Family Care Inc | Behavior Technician | 6918 S 37th Dr, Phoenix, AZ 85041-6160 | 2020-08-11 |
| 1134744360 | A Path To A New World LLC | Behavior Technician | 11242 N 19th Ave Ste 24, Phoenix, AZ 85029-4857 | 2020-06-12 |
| 1073136719 | Closel Defonse | Behavior Technician | 7812 W Wood Ln, Phoenix, AZ 85043-1426 | 2020-05-28 |
| 1083236723 | True Hand Behavioral Agency | Behavior Technician | 7631 W Globe Ave, Phoenix, AZ 85043-1679 | 2020-05-16 |
| 1225662562 | Vanessa Riviera Delgado | Behavior Technician | 16431 N 33rd Dr, Phoenix, AZ 85053-2902 | 2020-02-25 |
| 1285273789 | Sandy Salcido | Behavior Technician | 4710 North 108th Ave, Phoenix, AZ 85037-5472 | 2019-12-31 |
| 1568001402 | Empowerment Family Care Inc 2 | Behavior Technician | 8729 W Catalina Dr, Phoenix, AZ 85037-3207 | 2019-12-23 |
| 1063050177 | Fight4life Incorporated | Behavior Technician | 4411 S 40th St, Phoenix, AZ 85040-2950 | 2019-12-19 |
| Find all providers in PHOENIX | ||||
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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.