TIMOTHY ADAM STORCK (NPI# 1568009777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568009777 |
| Entity Type | Individual |
| Full Name | TIMOTHY ADAM STORCK |
| Credential | M.ED, BCBA, LBA |
| Practice Address |
2155 Marsh Ln Ste 132 Carrollton TX 75006-5080 |
| Mailing Address |
3114 San Lucas Ave Dallas TX 75228-3422 |
| Practice Telephone | 9405954381 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-36860 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LBA | 2972 | 01 |
| BCBA LICENSE | 1-19-36860 | 01 |
| Street Address |
2155 MARSH LN STE 132 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75006-5080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251284 | Stephanie Nicole Foster | Behavioral Analyst | 2155 Marsh Ln Ste 132, Carrollton, TX 75006-5080 | 2019-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
| 1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
| 1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
| 1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
| 1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
| 1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
| 1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
| 1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
| 1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
| Find all providers in zip 75006 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205459757 | Wendy Morris | Behavioral Analyst | 2741 E Belt Line Rd Ste 107, Carrollton, TX 75006-5429 | 2020-05-19 |
| 1083251284 | Stephanie Nicole Foster | Behavioral Analyst | 2155 Marsh Ln Ste 132, Carrollton, TX 75006-5080 | 2019-12-06 |
| 1366084410 | Jeremiah Anzualda | Behavioral Analyst | 4100 Midway Rd Ste 1010, Carrollton, TX 75007-1962 | 2019-10-10 |
| 1053864629 | Megan Hollister | Behavioral Analyst | 2020 E Hebron Pkwy # 110, Carrollton, TX 75007-1618 | 2016-07-29 |
| 1144638099 | Courtney Leigh Rodriguez | Behavioral Analyst | 2020 E Hebron Pkwy Ste 120, Carrollton, TX 75007 | 2014-07-23 |
| 1326474222 | Language Works LLC | Behavioral Analyst | 2413 E Hebron Pkwy, Carrollton, TX 75010-4427 | 2013-09-24 |
| 1285928325 | Brittany Dean | Behavioral Analyst | 443 N Josey Lane, # 100, Carrollton, TX 75010-4052 | 2011-06-07 |
| 1144836016 | Emerald Janae Oatis | Behavioral Analyst | 4443 N Josey Ln Ste 100, Carrollton, TX 75010-4677 | 2020-09-16 |
| 1053922278 | Christina Cross | Behavioral Analyst | 4100 Midway Rd Ste 1010, Carrollton, TX 75007-1962 | 2020-08-11 |
| 1194350587 | Zahra Aly | Behavioral Analyst | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-03-06 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75006 |
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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.