MS. DEENA MARIE BRETON (NPI# 1629400114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629400114 |
| Entity Type | Individual |
| Full Name | MS. DEENA MARIE BRETON |
| Other Name | MRS. DEENA MARIE M BRETON-HARRIS |
| Credential | MA |
| Practice Address |
412 E 41st St Ste 1005 Garden City ID 83714-6348 |
| Practice Telephone | 2086005291 |
| Mailing Telephone | 2086005291 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | MFTI-5910 | ID | Behavioral Health & Social Service Providers |
| Y | 222Q00000X | Developmental Therapist | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | A0003871 | 05 |
| Street Address |
412 E 41ST ST STE 1005 |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306100748 | Maryalice Elizabeth Murphy | Developmental Therapist | 178 Meadbrook Rd, Garden City, NY 11530-1209 | 2012-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225664931 | Emmerance Tshite | Developmental Therapist | 1805 E Overland Rd Apt 2123, Meridian, ID 83642-6876 | 2020-03-14 |
| 1316586506 | Kalley Ward Malone | Developmental Therapist | 2401 W Norcrest Dr, Boise, ID 83705-4346 | 2020-01-05 |
| 1063064384 | Patricia Jacobs | Developmental Therapist | 3800 W Perugia St Apt V108, Meridian, ID 83642-4966 | 2019-07-16 |
| 1306326863 | Jennifer Beason | Developmental Therapist | 9517 W Lillywood Dr, Boise, ID 83709-5371 | 2018-08-15 |
| 1740789064 | April M Teachout | Developmental Therapist | 3153 S. Lawndale Ave, Chicago, ID 60623-5039 | 2018-02-02 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1639613805 | Jessica Sproul I | Developmental Therapist | 10395 Mckinley St, Nampa, ID 83687-5079 | 2016-12-07 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| 1073974515 | Carly Kay Powell | Developmental Therapist | 150 Shoup Avenue, Idaho Falls, ID 83402 | 2016-03-11 |
| 1518327741 | Magdalena Weimer | Developmental Therapist | 701 E Alice St, Blackfoot, ID 83221-4925 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 83714 |
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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.